Image of 2017 Principles and Practice of CBT-I: Cognitive Behavioral Therapy fo
Digital Seminar

2017 Principles and Practice of CBT-I: Cognitive Behavioral Therapy for Insomnia


Average Rating:
   3.8
Faculty:
Donn Posner |  Michael Perlis |  Jason Ellis
Duration:
16 Hours 19 Minutes
Copyright :
21 Oct, 2017
Product Code:
POS043760
Media Type:
Digital Seminar
Access:
Never expires.


Description

Cognitive Behavioral Therapy for Insomnia (CBT-I) is now recommended as the first line treatment for chronic insomnia. This recommendation was, interestingly enough, made by the second largest medical organization in the United States (The ACP) and was published in the Annals of Internal Medicine (2016;165(2):125-133).

The recommendation is, in part, based on the following findings.  

  • CBT-I is as efficacious and effective as pharmacotherapy in the short run, and is more durable in the long run            
  • CBT-I has a more benign side effect profile than pharmacotherapy
  • CBT-I yields substantial improvement in sleep continuity, and does so largely irrespective of medical or psychiatric comorbidity.
  • CBT-I directly targets the factors that are thought to perpetuate insomnia (i.e., the mismatch between sleep opportunity and sleep ability).
  • CBT-I has been shown to work well even with patients with a long history of using hypnotics

The Penn Basic CBT-I Course is a two day intensive review of the principles and practice of this intervention. The 16 hour training, along with the conduct of practicum cases with supervision (peer consultation from credentialed BSM individuals [or established experts]) and targeted readings (Tx manuals and practice papers) should position established clinicians to 1) reliably and effectively deliver CBT-I and 2) be eligible for the credentialing exam that is in development by the SBSM and related agencies. For more information on the credentialing process, keep your eye on this space: http://www.behavioralsleep.org/.

 

Points


* CPD

This online program is worth 16.25 hours CPD.



Handouts

Faculty

Donn Posner's Profile

Donn Posner Related seminars and products: 1

Ph.D., DBSM, Psychologist


Donn Posner, Ph.D., a Diplomate of Behavioral Sleep Medicine (DBSM), is working as a clinical/research psychologist for the Palo Alto VA.

Prior to his role at the VA, he spent 25 years as a clinical associate professor at Brown Medical School. He served as the director of clinical behavioral medicine for Rhode Island and Miriam hospitals and was also the director of behavioral sleep medicine for the Sleep Disorders Center of Lifespan Hospitals. For 20 of those years, Dr. Posner served as the primary supervisor for a rotation of the behavioral medicine track of the clinical psychology internship at Brown. He also mentored post-doctoral fellows and lectured on behavioral sleep medicine and anxiety disorders to interns, fellows, and residents in internal medicine and psychiatry. In addition, he was a consultant for the Veteran’s Administration roll out of CBT-I and trained VA clinicians across the country in the implementation of this treatment.

Dr. Posner is one of the authors of Cognitive Behavioral Treatment of Insomnia: A Session-by-Session Guide (New York: Springer/Verlag). The book is intended for clinical trainees and non-insomnia sleep specialists, as well as more experienced clinicians from outside the sleep medicine field who wish to learn how to provide empirically validated cognitive behavioral treatment for insomnia (CBT-I).

Dr. Posner is a member of the American Academy of Sleep Medicine and became one of the first certified behavioral sleep medicine specialists recognized by that group. He is also a founding member of the Society of Behavioral Sleep Medicine and has achieved the status of Diplomate with the SBSM, the highest level of qualification and competency that the organization bestows.

Speaker Disclosures:

Financial: Donn Posner is adjunct clinical associate professor at Stanford University of Medicine. He is a clinical researcher for Palo Alto Veterans Institute for Research. Dr. Posner receives a speaking honorarium from PESI, Inc.

Non-financial: Donn Posner is a member of the American Psychological Association; Association for Behavioral and Cognitive Therapies; and the American Academy of Sleep Medicine.


Michael Perlis's Profile

Michael Perlis Related seminars and products: 1

Ph.D., Director of Behavioral Sleep Medicine Program, Associate Professor

University of Pennsylvania Perelman School of Medicine


Michael L. Perlis, PhD is internationally known for his work in the area of Behavioral Sleep Medicine (BSM). He is a coauthor of the first text book in this field and he is the senior author of a published CBT-I treatment manual and a larger text summarizing all BSM treatments. His research includes neurocognitive phenomena in insomnia, the cognitive and/or behavior effects of sedative hypnotics and placebos, the development of alternative treatment approaches for insomnia, and sleep in depression. His work has been, and continues to be, funded by the National Institutes of Health and he has published more than 100 articles and chapters on the sleep research related topics.

In addition to his academic endeavors, he has served on the editorial boards of Sleep, the Journal of Sleep Research, the journal of Sleep Medicine Research and the journal of Behavioral Sleep Medicine. Dr. Perlis has also served as a member, or chair, of several committees and task forces of the Sleep Research Society and the American Academy of Sleep Medicine and he was a founding member of the Society of Behavioral Sleep Medicine and served as the society's first president (2010-2011).


Jason Ellis's Profile

Jason Ellis Related seminars and products: 1

Ph.D.


Jason Ellis, PhD is a Professor of Sleep Science and Director of the Northumbria Centre for Sleep Research in the United Kingdom. He splits his time between his basic research interests: the pathophysiology of sleep disorders (Insomnia, Restless Legs  Syndrome, and Circadian Rhythm Disorders), the natural history of Insomnia, and his applied work on Cognitive Behavioral Therapy for Insomnia (CBT-I). Within the latter framework he examines the impact of novel adjunct therapies, the influence of social factors on adherence, and the effective delivery of CBT-I in complex cases. He has worked within the National Health Service in the United Kingdom, delivering CBT-I to individuals with a range of physical and psychological conditions and serves on the editorial board of Behavioral Sleep Medicine. He is a serious advocate of public engagement and professional education with regard to behavioral sleep medicine and regularly trains CBT-I to clinicians and primary care physicians in the United Kingdom.


Additional Info

Program Information

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Target Audience

Clinical psychologists, clinical trainees, counselors, PhD/NP level nurses, and physicians interested in the assessment and treatment of insomnia

Outline

DAY ONE

  • Welcome announcements and orientation
  • Basics of sleep and behavioral model of insomnia
  • Pharmacological and behavioral treatment options for insomnia
  • Assessment of insomnia Part I-Definition, differential diagnosis, indications for treatment.
  • Session 1- Assessment Part 2-CBT-I forms, devices, setting up sleep diaries
  • Session 2- Treatment planning, setting up sleep restriction and stimulus control

DAY TWO

  • Session 3- Adherence issues, problem solving and sleep hygiene.
  • Session 4- Cognitive Therapy- General and targeted therapies
  • Session 5, 6, & 7- Titration of sleep window, treatment delivery, therapist factors, and charting.
  • Session 8-  Relapse prevention
  • Concluding Remarks

Objectives

  1. Articulate the basics of sleep nomenclature including sleep period, phase, continuity, and architecture.
  2. Discriminate acute insomnia from Insomnia Disorder and articulate the importance of treating the chronic form as a specifically targeted co-morbidity.
  3. Assess for the most common intrinsic sleep disorders such as OSA, RLS, PLMS, circadian rhythm disorders, and narcolepsy.
  4. Evaluate the common medications used in the treatment of insomnia and understand their relative strengths and weaknesses.
  5. Communicate the relative efficacy of pharmacotherapy and cognitive behavioral therapies for insomnia.
  6. Communicate the evidence for the efficacy of CBT-I for both primary and co-morbid insomnia disorder.
  7. Apply the principles of the Spielman model of insomnia and employ it in the delivery of CBT-I.
  8. Apply the principles of Borbely’s two-process model of sleep regulation and demonstrate how to utilize this concept in the deployment of CBT-I.
  9. Score and analyze patient sleep diary data, and create a treatment plan based upon the data in the course of CBT-I treatment.
  10. Apply the techniques of Sleep Restriction therapy to the treatment of chronic Insomnia.
  11. Apply the techniques of Stimulus Control to the treatment of chronic Insomnia
  12. Educate patients in sleep hygiene principles and tailor to individual needs.
  13. Apply the techniques of cognitive therapeutic strategies to the treatment of chronic insomnia.
  14. Calculate sleep efficiency and titrate patient sleep windows
  15. Anticipate, identify and problem solve common resistances in CBT-I.
  16. Implement an action plan to prevent patient relapse.

Reviews

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Overall:      3.8

Total Reviews: 218

Comments

Pamela L - PRESCOTT, Arizona

"Excellent. Enjoyed all three days. Will put it into practice (and will practice and practice and practice). Will online participants get link to gift basket? I really would like the articles, and to see videotapes and the resources in the gift basket. "

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