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Digital Seminar

Beyond Sleep Hygiene: CBT Solutions to Improve Outcomes and Resolve Insomnia in Clients with Anxiety, PTSD, Depression, and More


Faculty:
Colleen Carney, PhD
Duration:
6 Hours 17 Minutes
Copyright:
Mar 05, 2024
Product Code:
POS059615
Media Type:
Digital Seminar
Access:
Never expires.


Description

Stuck progress. Incomplete treatment gains. Symptom recurrence.

These aren’t the outcomes you want for your clients.

Anxiety, PTSD, and depression often share a common problem - sleep disturbance. And you’re likely underestimating its significance.

While old wisdom suggested that insomnia was just a symptom of other disorders that would resolve along with the primary mental health condition...

...new evidence reveals that not only is insomnia a risk factor for numerous behavioural health issues and medical problems - if left unaddressed, insomnia complicates your treatment efforts and diminishes your clients’ recovery.

Insomnia must be targeted directly - and often, simply helping your clients sleep better actually decreases their other symptoms.

In this essential training, Dr. Carney will teach you Cognitive Behavioural Therapy for Insomnia (CBT-I), a powerful evidence-based, gold-standard treatment to help your clients put chronic insomnia behind them. You’ll get the skills you need to:

  • Increase sleep efficiency so your clients consistently get the rest they need
  • Transform your clients’ bed into a cue for sleep so they don’t toss and turn all night
  • Deconstruct unhelpful beliefs to decrease anxiety about sleep
  • Troubleshoot sleep-related problems at any stage of therapy

Purchase today and add to your clinical toolbox the treatment that is more strongly recommended than medications to improve sleep!

CPD

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



CPD

PESI Australia, in collaboration with PESI in the USA, offers quality online continuing professional development events from the leaders in the field at a standard recognized by professional associations including psychology, social work, occupational therapy, alcohol and drug professionals, counselling and psychotherapy. On completion of the training, a Professional Development Certificate is issued after the individual has answered and submitted a quiz and course evaluation. This program is worth 6.5 hours CPD for points calculation by your association.



Handouts

Faculty

Colleen Carney, PhD's Profile

Colleen Carney, PhD Related seminars and products


Colleen E. Carney, PhD, is on faculty in the department of psychology at Toronto Metropolitan University, where they are the director of the sleep and depression laboratory. They are a leading expert in psychological treatments for insomnia, particularly in the context of co-occurring mental health issues. Their work has been featured in The New York Times and they have over 100 publications on insomnia.

Dr. Carney frequently trains students and mental health providers in CBT for Insomnia at invited workshops throughout North America and at international conferneces. 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.drcolleen carney.com

Speaker Disclosures:
Financial: Dr. Colleen Carney has employment relationships with Toronto Metropolitan University and Duke University. They receive a grant from Canadian Institutes of Health Research and Sleep Research Consortium. Dr. Carney receives royalties as a published author. They receive a speaking honorarium and recording royalties from PESI, Inc. Dr. Carney has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Colleen Carney is a member of the Canadian Association of Cognitive and Behavioural Therapies, the Canadian Psychological Association, the Association for Behavioural and Cognitive Therapies (ABCT), the Canadian Sleep and Circadian Network, the Canadian Sleep Society, the Sleep Research Society, and the Canadian Association for Cognitive Behaviour Therapy.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Distinguish acute insomnia from chronic insomnia and identify treatment implications.
  2. Conduct a thorough sleep assessment.
  3. Analyze data from sleep diaries to inform treatment.
  4. Employ stimulus control to strengthen the association between bed and sleep.
  5. Conduct sleep restriction therapy to improve clients’ sleep drive.
  6. Utilize cognitive strategies to reduce alarming sleep-related thoughts.

Outline

Sleep Disturbance Doesn’t Resolve on Its Own
Why Treating a Primary Mental Health 
Disorder Won’t Cure Insomnia

  • Insomnia as a risk factor for behavioural health and medical disorders
  • Treatment issues when insomnia is comorbid with depression, anxiety, and PTSD
  • Sleep quality concerns with co-occurring chronic pain and illness
  • What weakens sleep drive and disturbs circadian rhythms?
  • Common thoughts and behaviours that contribute to sleep-interfering arousal
  • How to teach clients about the 3 P’s - predisposing, precipitating, and perpetuating factors

Insomnia-Informed Assessment
How and What to Ask Your Clients

  • Top questions for the initial interview
  • Assessments for co-occurring sleep disorders
  • Talking with clients about the impact of medications and drugs on sleep
  • Evaluate sleep continuity, relevant sleep habits, and daytime symptoms of insomnia
  • Sleep diary and other take-home assessment resources
  • How to get clear, useable information about your clients’ sleep patterns

Treatment Planning with Cognitive Behavioural Therapy for Insomnia (CBT-I)
Behavioural Strategies to Improve Sleep and Outcomes for Mental Health Disorders

  • Clinical practice guidelines and the state of research on insomnia treatment
  • Who is a good candidate for CBT-I?
  • Effective sleep hygiene for clients who haven’t addressed the basics
  • Clock watching and its implications
  • Strengthen the sleep drive and circadian clock with sleep restriction therapy (SRT)
  • Psychoeducation on rationale and addressing clients’ fears to increase engagement
  • How to set the sleep window and when to extend time-in-bed
  • Rules for before-bed activities and strategies for waking up on time
  • Address conditioned arousal with Stimulus Control (SC)
    • Overcoming obstacles to strengthening the association between bed and sleep
    • Counter-arousal strategies
    • Activities your clients can use during periods of nighttime wakefulness

Cognitive Strategies to Help Clients Change Sleep-Interfering Thoughts & Beliefs

  • Create a buffer zone and worry schedule for your clients
  • Tools to identify thoughts and beliefs that perpetuate sleep problems
  • Combat intrusive thoughts during sleep time
  • Help clients reduce sleep effort and worry about lack of sleep
  • Strategies to restructure expectations and thoughts
  • Behavioural experiments to evaluate sleep-related thinking

Clinical Considerations
Additional Factors for the Insomnia-Informed Clinician

  • Best practices to address clients’ concerns about interventions
  • Troubleshooting insufficient progress in CBT-I
  • When to refer to a sleep specialist
  • Limitations of the research and potential risks

Target Audience

  • Counsellors
  • Social Workers
  • Psychologists
  • Marriage & Family Therapists
  • Physicians
  • Addiction Counsellors
  • Case Managers
  • Psychiatric Nurses
  • Nurses
  • Occupational Therapists
  • Other Mental Health Professionals

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