Anxiety and insomnia: which doctor to see
Anxiety and insomnia often come as a pair and are more exhausting than they look from the outside. They are not a "weak character" — they are conditions that are well treated today, with a psychotherapist and, if needed, a psychiatrist.
Common causes
- Chronic stress and overload
- An anxiety disorder
- Depression — often shows as early waking
- Poor sleep habits: screens at night, caffeine, an irregular schedule
- Thyroid disorders
- Side effects of medicines and stimulants
When to seek urgent help
Do not wait for a scheduled visit if you have any of these signs:
- Thoughts of harming yourself — seek help immediately, call 103
- A first-ever panic attack with chest pain — the heart must be ruled out, call 103
- Anxiety with weight loss, tremor, a racing heart
- Insomnia lasting over a month that disrupts work and life
- Hearing or seeing things that are not there
Ambulance: 103 (103 from a mobile) · Unified rescue service: 911
Your specialist
Psychotherapist
What to bring to the visit
- A sleep diary for 1–2 weeks: when you go to bed and wake up
- A list of medicines, sleep aids and your daily caffeine
- A note on what worries you and for how long
- Thyroid test results, if available
Frequently asked questions
Psychologist, psychotherapist or psychiatrist?
A psychologist counsels and does not prescribe. A psychotherapist treats anxiety and insomnia with talking therapy. A psychiatrist is a doctor who adds medication when needed. Starting with a psychotherapist is a good option.
Is it confidential?
Yes: doctors are bound by medical confidentiality. Seeing a psychotherapist is an ordinary medical visit, like any other.
The information on this page is for reference only and does not replace a doctor's consultation. Only a doctor can make a diagnosis in person. If your condition worsens, call 103.