6 months
Burnout and low mood
Psychiatrist-led, with session counts stated before you pay for any of them. Sleep is addressed first because it is the most treatable.
You’ve been managing.
You don’t have to just manage.
Led by a doctor. Medicine only if it will help.
Start your assessmentFirst line
Structured sleep therapy has been the recommended first treatment for chronic insomnia — ahead of medication — for nearly a decade. We start there, not with a tablet.
What we can treat here
Thyroid and iron are checked here too. Exhaustion read as low mood is one of the most common mistakes we see.
6 months
Drinking less
For cutting down, or staying stopped once you have. Medicine to take the edge off cravings where it helps, a liver test first, and weekly support between doctor reviews. A family session if you want one.
3 months
Quitting tobacco
Smoking or chewing. Nicotine replacement or a prescription tablet, plus coaching — together they roughly double your chances against willpower alone.
What we’ll test
Thyroid (TSH, free T4, anti-TPO)
Ferritin and serum iron
Vitamin D and B12
Complete blood count
Home sample collection
How long this actually takes
Nobody can shorten these. We’d rather you hear the real number now than in month four.
Week 0
Assessment, and a week of tracking your sleep, energy and mood before anything starts.
Week 2
First session with a psychiatrist. Medication only where it is indicated.
Week 6
Review. Dose changes, if any, happen here rather than by message.
Month 6
Full review, with a taper plan if you are ready to stop.
What the evidence says
The American College of Physicians has recommended cognitive behavioural therapy for insomnia as first-line treatment for chronic insomnia — ahead of medication — since 2016.
ACP Clinical Practice Guideline, Annals of Internal Medicine (2016)Tele-MANAS, the national mental health helpline, is free and available in multiple Indian languages, 24 hours a day, on 14416.
Ministry of Health and Family Welfare, Government of IndiaQuestions about addiction and sleep
That is a decision for a psychiatrist after assessing you. It is not something we advertise, recommend from a web page, or name in marketing.
Then thyroid and iron are tested first. Calling exhaustion a mood problem before those two are ruled out is one of the most common mistakes here.
Niira is not an emergency service. Call Tele-MANAS on 14416 — free, 24 hours, multiple languages.
If you are in crisis or thinking about harming yourself, please call Tele-MANAS on 14416 — free, 24 hours, in multiple Indian languages. Niira is not an emergency service.