We all know the necessity of sleep –yet we often overlook addressing it in therapy. Your clients with PTSD, anxiety, depression and chronic pain are struggling with symptoms of those disorders, and everything is made worse when they aren’t able to sleep.
If your clients aren’t sleeping, do you know what to do about it?
In this recording, I’ll show you successful, proven techniques I’ve developed over the last decade on how to optimize your clients’ sleep – without medication! You don’t need to be a sleep specialist to implement these strategies in your office.
Discover evidence-based strategies to help your clients increase energy during the day, sleep more deeply and re-initiate sleep after it’s been disrupted. In addition, you’ll learn how to easily integrate these strategies into existing treatment for trauma, anxiety, depression and chronic pain.
Watch and discover:
- New tools to assess for sleep quality & sleep disorders other than insomnia
- Strategies to address conditioned wakefulness and restore your clients’ sleep drives
- Sleep logs, worksheets and other tools to use in your clinical practice
- Specific interventions for clients with comorbid PTSD, anxiety, depression or chronic pain
Add insomnia treatment to your therapeutic toolbox!
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.
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).
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- Identify sleep disorders which require referrals to a sleep centre.
- Integrate strategies to build 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 behavioural experiments for clients to test unhelpful beliefs about sleep.
- Identify conditional arousal and teach clients strategies to reverse it.
- 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
- Behavioural experiments
- Socratic questioning
- Case Study: Interpreting thought records
Modify Insomnia Treatment for Clients with Comorbid Disorders
- Fear of silence
- Fear of loss of vigilance
- Delayed bedtime
- Sleep avoidance
- Prolonged nightmare awakenings
- Is hypnotic discontinuation necessary?
- 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
- 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
- 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
- Social Workers
- Psychotherapists Therapists
- Addiction Counselors
- Marriage and Family Therapists
- Case Managers
- Other Mental Health Professionals