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Faculty:: Colleen E. Carney
Duration:: 6 Hours 13 Minutes
Format:: Audio and Video
Copyright:: Jun 25, 2019

Description

Outline

Assessment

Sleep regulation
The elements of insomnia
Goals of assessment
Diagnostic criteria
Comorbid conditions
Other sleep disorders
When to make a referral to a sleep clinic
Take-home assessment tools
Limitations of the research & potential risks
Case Study: Sleep phase delay vs. insomnia

Stimulus Control (SC): Address Conditioned Arousal to Reduce Wakefulness

Psychoeducation for your client
Rules for reassociating the bed with sleep
Fatigue management strategies to eliminate napping
Ideas for late-night activities
Case Study: Is the client a candidate for stimulus control?

Sleep Restriction Therapy (SRT): Restore the Sleep Drive to Improve Sleep Quality

How to present rationale to your client
Calculate time-in-bed prescription
Placing the time-in-bed window
Identify & overcome obstacles to adherence
Sleep extension
How to combine SC & SRT effectively
Sleep hygiene
Case Study: Would you increase time in bed?

Counterarousal Strategies: Five MustKnow Strategies to Quiet an Active Mind

Establish a buffer zone
Scheduled thinking time
Combat excessive rumination
Mindfulness strategies
Relaxation therapies

Cognitive Therapy: Identify and Change Distorted Thoughts about Sleep

Thought records
Behavioral experiments
Socratic questioning
Case Study: Interpreting thought records

Modify Insomnia Treatment for Clients with Comorbid Disorders

PTSD

Fear of silence
Fear of loss of vigilance
Delayed bedtime
Sleep avoidance
Prolonged nightmare awakenings
Is hypnotic discontinuation necessary?

Anxiety

When stimulus control rules can’t be tolerated
Combat hastiness to get out of bed
Sleep compression: An alternative to SRT
Identify sleep anxiety vs. high arousal in bed
Considerations for panic disorder

Depression

Sleep’s impact on mood
Distorted time-in-bed to time sleeping ratio
Use of coping cards
Troubleshoot adherence problems
Worsening moods
Case Study: Struggling to get out of bed

Chronic Pain

Pain meds & sleep
Considerations for use of stimulus control
Break the association of bed & pain
When it’s physically difficult to get out of bed

Faculty

Colleen E. Carney, Ph.D. Related seminars and products: 5

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).

Salepage: https://catalog.pesi.com//item/insomnia-treatment-evidencebased-strategies-enrich-sleep-boost-clinical-outcomes-clients-ptsd-anxiety-chronic-pain-depression-49087

Archive: https://archive.ph/wip/9yNnN

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