Insomnia: Evidence-Based Strategies for Depression, Trauma, Anxiety and Chronic Pain

Featuring Colleen E. Carney, Ph.D. Expert & Author

POWERFUL STRATEGIES FOR QUIETING THE MIND TO GET TO SLEEP

• Harness sleep drive to override mental over-activity
• Use rumination as a trigger for more adaptive strategies
• Mindfulness strategies to help with sleep and fatigue

Join Dr. Colleen Carney and discover evidence-based strategies to help your clients increase energy during the day, sleep more deeply, and re-initiate sleep after hot flashes, panic attacks or nightmares. Free your clients from insomnia and improve their mood, pain, self-efficacy and quality of life. The strategies presented in this workshop are brief and easily integrated into existing treatment for depression, chronic pain, trauma and anxiety.

You will develop strategies to help your clients with sleep regulation in order to effectively troubleshoot problems. Learn assessment tools, step-by-step CBT, and counter-arousal strategies that your client can immediately use. Dr. Carney’s engaging workshop will include discussion of case vignettes, experiential exercises, examples of sleep logs and other tools to use in your clinical practice.

OUTLINE

Sleep Regulation

• Sleep homeostasis
• Behaviors that interfere with the build-up of sleep-drive
• The circadian system
• Behaviors that interfere with optimal timing of sleep
• Arousal system: behaviors that cause conditioned arousal and cognitive emotional hyperarousal

Assessment

• How to get useful information from sleep diaries
• The difference between sleepiness and fatigue
• When to make a referral to a sleep clinic
• Other assessment issues

Cognitive Behavior Therapy for Insomnia (CBT-I)

Sleep Restriction Therapy (SRT): Restore the Sleep Drive

• Calculate optimal time-in-bed prescription
• Collaborate on the best “sleep window”
• Special cases: when to use sleep compression instead

Stimulus Control (SC): Addressing Conditioned Arousal

• Select an optimal standard rise time
• Fatigue management strategies to eliminate napping
• Special cases: when to use counter control instead
• Combining SC and SRT in one-session CBT-I

Counter-arousal Strategies

• Identify and change negative thoughts that keep people awake
• Behavioral experiments
• Thought records
• The buffer zone
• Socratic questioning
• Structured, scheduled problem-solving
• Mindfulness
• Troubleshooting difficulties with adherence
• High sleep anxiety vs. high arousal
• Awakenings from pain, hot flashes, panic or nightmares
• Using light and activation in those with depression

Modifications to CBT for Insomnia in Complex Cases & Comorbidity

• Major Depressive Disorder
• Chronic pain
• Anxiety disorders
• Post-Traumatic Stress Disorder

Implementation Issues

• Relapse prevention
• Delivery issues

OBJECTIVES

• Identify sleep disorders which require referrals to a sleep center.
• Integrate strategies for pre-sleep arousal by building a stronger drive for deep sleep.
• Discuss why CBT-I is effective for clients with co-occurring issues such as pain, depression, anxiety or trauma.
• List treatment strategies clients can easily implement to manage their fatigue.
• Design behavioral experiments for clients to test unhelpful beliefs about sleep.
• Identify conditioned arousal and teach clients strategies to reverse it.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.