Sleep Difficulties and Disorders (Insomnia)

Which treatment method is best suited for you is something we figure out together during the first conversations. The choice depends on your challenges, your personality, your life situation, and what scientific research shows has the best effect on your difficulties.

As a specialist, I have training in and experience with several different treatment approaches. This allows me to adapt the method to your unique needs, rather than forcing you into one specific framework. I do not rely on a single method for everyone but often combine different treatment approaches to create change and promote the best possible improvement.

Psychoeducation (Knowledge sharing)

I use psychoeducation as an integrated part of treatment for all patients. This is a systematic and educational approach where we teach you and possibly your family about the relevant mental health challenge or diagnosis. Understanding your own condition and your own reaction patterns is often half the battle. The goal is not just to provide dry information but to equip you with knowledge that makes it easier to cope with everyday life.

Medication

As a psychiatrist (physician), I can assess whether medication can be a useful support for you during the treatment process. If medication is relevant, it is almost always used in combination with talk therapy and close medical follow-up.

As a psychiatrist, I am a medical doctor specialising in mental health. This means I have specialist expertise in assessing whether, when, and how medication — often called psychopharmaca — can be a safe and useful part of your recovery process. Medication is rarely a complete solution on its own, but it can function as an important support in daily life. Medication works best when combined with conversations, reflection, and tools for coping. The goal is often for medication to give you the necessary surplus to make changes in your life.

Here are the most common situations where medication may be relevant:

1. 1

   For moderate to severe mental disorders: When mental difficulties become so intense that they paralyse your daily functioning, medication can help dampen the most severe symptoms. This applies especially to:

   • Severe depression: To restore chemical balance in the brain, give you back your sleep, and lift your energy enough that you can benefit from talk therapy.
   • Bipolar disorder: Mood-stabilising medication is often essential to prevent and dampen the large swings between deep depressions and manic episodes.
   • Severe anxiety and obsessive-compulsive disorder (OCD): When anxiety is so paralysing that you cannot expose yourself to what you fear (exposure therapy), medication can take the edge off the panic.
   • Psychoses and schizophrenia: Antipsychotic medication is crucial for dampening hallucinations, thought chaos, and delusions.
   • Major and persistent sleep difficulties.

1. 2

   For neurodevelopmental disorders such as ADHD: With ADHD, the brain's ability to regulate attention and impulses is biologically impaired. Central stimulants or other targeted ADHD medications can help the brain gather thoughts, increase concentration, and dampen inner and outer restlessness.

1. 3

   When other measures have not been sufficient: If you have tried talk therapy, lifestyle changes, or other measures over time without noticing sufficient improvement, it may be relevant to add medication support to break the negative pattern.

My private practice operates strictly on a scheduled, daytime outpatient basis and lacks the comprehensive multidisciplinary support network and round-the-clock emergency infrastructure found within a hospital setting. To prevent inappropriate referrals and ensure realistic expectations, it is crucial to clarify which conditions fall outside the clinical scope of my private services.

Regrettably, I am unable to accept patients presenting with the following challenges:

• Active Moderate to Severe Substance Use Disorders (Addiction): These conditions require specialized multidisciplinary addiction treatment (TSB). However, patients with a historical background of substance abuse who are currently stable and sober, and who require treatment for underlying psychiatric conditions such as ADHD or affective disorders, are warmly welcome in my practice.

• Acute Psychosis and Unmanaged Schizophrenic States: These clinical presentations require immediate emergency intervention, continuous monitoring by mobile crisis teams (AAT/FACT), or acute admission to an inpatient psychiatric ward to guarantee the safety of the patient and their surroundings. A private outpatient clinic relies on scheduled sessions and lacks the emergency infrastructure needed to manage a severe break from reality. I can, however, provide continuing care for patients with schizophrenia or bipolar disorders who are already established on medical treatment and are in a stable, maintenance phase.

• Acute Crises, Severe Suicidal Ideation, or Intense Self-Harm Impulses: These presentations require 24-hour clinical observation and a highly dense safety network. Such individuals must be managed within public acute psychiatric services. In the event of immediate suicidal danger, emergency medical services (Legevakt: 116 117) or your local acute psychiatric unit must be contacted immediately.

• Severe Anorexia Nervosa or Bulimia Nervosa: Conditions involving critical somatic complications and medical instability, such as an exceptionally low BMI, cardiac arrhythmias, or severe electrolyte imbalances, require integrated multidisciplinary care involving clinical nutritionists, internists, and frequently inpatient hospitalization. As a solo private practitioner, I do not possess the infrastructure to bear this medical and somatic responsibility alone.

• Profound Intellectual Disabilities (F70–F79) with Severe Behavioral Disturbances: These patients generally require heavily coordinated services from the municipality, social services (NAV), specialized housing, and institutional habilitation services. Private outpatient practice is best suited for individuals who possess the cognitive capacity necessary to actively participate in and benefit from outpatient psychotherapy and standard medication monitoring.

• Coercive Care and Forensic Psychiatry: All forms of involuntary treatment (compulsory mental health care) and the clinical follow-up of legally sentenced patients require formal statutory frameworks and institutional settings that belong exclusively to the public healthcare system.

Emergency Services:

This clinic does not provide emergency psychiatric assistance, offering only scheduled diagnostic evaluations and treatment during standard daytime hours.

If you require immediate, acute assistance, please contact:

• Acute Mobile Crisis Team (AAT): Contact the mobile team under the DPS or outpatient clinic at your local hospital during daytime hours.
• Emergency Medical Services (Legevakt): Call the national emergency medical number at 📞 116 117 (available 24/7).
• National Emergency Hotline: In the event of immediate danger to life, call the ambulance service at 📞 113.