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Issues & Conditions

Insomnia and Sleep Problems: Therapy with a Persian-Speaking Therapist

Sleep problems take many forms: taking a long time to fall asleep, waking repeatedly during the night, waking far too early, or sleep that never feels restful. When this goes on, it affects mood, focus, patience and physical health, and the fear of not sleeping can itself become part of the problem.

Sleep often mirrors the mind. Worry, anxiety, sadness or work pressure can show up at night. For people who have migrated, time differences with family, concern for loved ones back home and the stress of a new life can unsettle sleep. Fortunately, sleep problems often improve with non-medication approaches.

Who may it suit?

  • On most nights it takes you a long time to fall asleep, or you lie awake in the night
  • Your mind fills with thoughts and worries in bed
  • You wake up tired even after many hours in bed
  • You feel anxious as night approaches, fearing another sleepless night
  • Your sleep has been disrupted since migrating or after a difficult event

Something else may fit better if…

  • If you snore heavily, stop breathing during sleep or feel severely sleepy in the daytime, see a doctor first
  • If poor sleep comes with intense hopelessness or thoughts of self-harm, seek help from a doctor or crisis line right away

How does it work?

One of the most common approaches for insomnia is cognitive behavioural therapy for insomnia (CBT-I). It addresses the habits and thoughts that keep insomnia going, such as lying awake in bed for long periods or constant worry about sleep.

Your therapist may ask you to keep a sleep diary for a while, build a more regular sleep schedule and practise ways to relax body and mind. The goal is for bed to become linked with rest and sleep again, not with struggle.

If anxiety, sadness or a difficult experience sits behind the sleep problem, therapy works on those roots too. Sometimes calming the mind during the day is the best way to calm the night.

What to expect in online sessions

Sessions are online and in Persian, and you can choose times that suit your time zone. At the start, your therapist asks about your sleep pattern, routine and worries, and together you create a simple plan.

Changes in sleep are often gradual, and sleep may feel a little more unsettled in the first weeks while new habits take hold. Many people notice improvement over a few weeks to a few months, though this varies from person to person.

Examples

Examples are fictional and illustrative.

Nights on Tehran time

Maryam lives in Canada and spent late nights on video calls with her parents in Iran. Worry about them and distressing news had taken her sleep. With her therapist she rearranged the call times and learned to quiet her mind before bed. Her sleep slowly became more regular.

Three in the morning

Behrouz woke at three every night and thought about work until dawn. In therapy he learned not to stay in bed and to respond differently to his night-time thoughts. After a few weeks, the waking became less frequent and shorter.

Fear of the night

Sara worried so much about not sleeping that she felt anxious from the early evening. Her therapist helped her understand this fear and build a calmer relationship with sleep.

Therapists experienced in Sleep Disorders

These therapists list this on their profile. All sessions are online and in Persian.

See all therapists

Frequently asked questions

Does therapy really help with insomnia?

For many people, approaches like CBT-I can improve sleep because they address the habits and thoughts that keep insomnia going. Results differ for everyone.

Should I stop my sleep medication?

Any change to medication should be agreed with your own doctor. Therapy can take place alongside medical care.

When should I see a doctor first?

If you snore heavily, stop breathing in your sleep, feel dangerously sleepy while driving or have thoughts of harming yourself, contact a doctor or emergency services first.

Will the time difference with my therapist be a problem?

Sessions are online, so you can choose a time that fits your schedule and time zone.

This page is general information and does not replace a professional assessment. If you are in immediate danger or thinking about harming yourself, contact your local emergency services. Urgent help