Image of Insomnia: Evidence-Based Strategies for Depression, Trauma, Anxiety an
Online Learning

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


Credit Available - See CEUs tab below.

Category:
Anxiety |  Trauma and PTSD
Faculty:
Colleen E. Carney
Duration:
6 Hours 11 Minutes
Format:
Audio and Video
Original Program Date :
14 Oct, 2015
SKU:
POS048695
Media Type:
Online Learning


Description

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.

CEUs


General Credits

This course is available for 6.0 total CPDs. 

The HPCSA has declared that any on-line courses CPD/CEU credited by a certified US board, is automatically CPD/CEU credited in South Africa.

As there are different boards for different disciplines, we at Acacia suggest that you use the Counselling CPD/CEU credits. These correspond to South African credits of one CPD/CEU per 60 minutes. If you choose to use your discipline's credits, please do so at your discretion.


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards


Addiction Counselors

NAADAC

This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 6.0 CE in the Treatment Plan{CustomCreditField1} skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance.


Connecticut Addiction Counselors

Provider #120924. This course has been approved as a CCB approved training and has been awarded 6.25 hours by the Connecticut Certification Board.


California Alcoholism & Drug Abuse Counselors

PESI, Inc. is an approved provider by the CCAPP-EI, Provider #: OS-03-036-1019. This activity meets the qualifications for 6.0 CEH's (continuing education hours).


Counselors

This intermediate self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.


Texas Counselors

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This self-study course qualifies for 6.0 continuing education credits.


Marriage & Family Therapists

This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save this course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements. 


Illinois Marriage & Family Therapists

PESI, Inc. has been approved as a provider of continuing education by the State of Illinois, Department of Professional Regulation. Provider #:168-000156. Full attendance at this self-study activity qualifies for 6.0 credits.


Texas Marriage & Family Therapists

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Marriage and Family Therapists. Provider # 503. This self-study package qualifies for 6.0 continuing education credits.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This intermediate activity is approved for 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


Canadian Psychologists

PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 6.0 self-study continuing education hours. Full credit statement at: www.pesi.com/cpa-statement


Florida Psychologists

PESI, Inc., is an approved provider with the Florida Board of Psychology.Provider Number #50-399.This product qualifies for 6.3 self-study continuing education credits.


Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical{CustomCreditField1}) continuing education credits for completing this intermediate level course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. 


Canadian Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical{CustomCreditField1}) continuing education credits for completing this intermediate level self-study course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Illinois Social Workers

PESI, Inc. is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.


Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 6.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


New York Social Workers

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Ohio Social Workers, Counselors, and Marriage & Family Therapists

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 6.25 clock hours of continuing education credit.


Pennsylvania Social Workers, Counselors, and Marriage & Family Therapists

This intermediate activity is approved for 6.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


California Social Workers, Counselors, Marriage & Family Therapists, and Licensed Educational Psychologists

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the APA and the ASWB. Full participation in this self-study course will qualify for 6.0 hours of continuing education credit.


Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number #50-399. This self-study course qualifies for 6.25 continuing education credits.


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.


Psychologists

This self-study activity consists of 6.0 clock hours of continuing education instruction. The following state psychologist boards recognize activities sponsored by PESI, Inc. as an approved ACCME provider: Alaska, Arkansas, California, Colorado, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Missouri, Nebraska, New Hampshire, New Jersey, New Mexico, Oklahoma, Pennsylvania, South Carolina and Wisconsin. Certificates of attendance will be issued for you to submit to your state licensing board to recognize for continuing education credit. Full attendance is required; no partial credits will be offered for partial attendance. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education. PESI, Inc. designates this self-study activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 10/14/2018. It was last reviewed on 12/25/2018 and is valid until 25/12/2021.

Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.



Handouts

Faculty

Colleen E. Carney Related seminars and products: 1

Ph.D.


Colleen E. Carney, Ph.D., is on faculty in the Department of Psychology at Ryerson University, where she is director of the Sleep and Depression Laboratory. She is a leading expert in psychological treatments for insomnia, particularly in the context of co-occurring mental health issues. Her work has been featured in The New York Times and she has over 100 publications on insomnia.

She frequently trains students and mental health providers in CBT for Insomnia at invited workshops throughout North America and at international conferences. Dr. Carney is a passionate advocate for improving the availability of treatment for those with insomnia and other health problems. For more information, please visit www.drcolleencarney.com.

Speaker Disclosure:

Financial: Colleen Carney is a professor at Ryerson University. She receives a speaking honorarium from PESI, Inc.

Non-financial: Colleen Carney is a member of the Canadian Psychological Association; and the Association for Behavioural and Cognitive Therapies (ABCT).


Additional Info

Program Information

Additional Resources

To order the book, Quiet Your Mind & Get to Sleep: Solutions to Insomnia for Those with Depression, Anxiety or Chronic Pain, please visit our product store.

To order the book, Treatment Plans and Interventions for Insomnia: A Case Formulation Approach, please visit our product store.

To order the book, The Mindfulness Toolbox: 50 Practical Tips, Tools & Handouts for Anxiety, Depression, Stress & Pain, please visit our product store.


Target Audience

Addiction Counselors, Case Managers, Counselors, Marriage & Family Therapists, Nurses, Psychologists, Social Workers, and other Mental Health Professionals

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.

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

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