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• Archive: Faculty:Meg Danforth | Colleen E. CarneyDuration:18 Hours 54 MinutesFormat:Audio and VideoCopyright:Mar 14, 2018 Description Watch this breakthrough Cognitive Behavioral Therapy for Insomnia (CBT-I) Intensive Training to develop core competencies and master the art of applying CBT-I to a variety of clinical populations!You’ll get effective clinical techniques from two of today’s leading CBT-I treatment innovators, Colleen E. Carney, Ph.D. and Meg Danforth, Ph.D., who will share their insight and techniques.
• Join in for this revolutionary course as both reveal the latest advances in CBT-I to get the skills you need to succeed.You will be able to utilize concrete strategies that will provide greater healing for your clients who suffer from:AnxietyTraumaTBINightmaresDepressionChronic painSleep apneaDiscover 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.
• The strategies that you will add to your toolbox can be easily integrated into existing treatment for depression, chronic pain, trauma and anxiety.Through case studies, interactive discussions, examples of sleep logs, and reproducible handouts, you will take away practical CBT-I strategies to use immediately with any client.
• Finish this certificate course armed with tools you can use in your very next session.
• Handouts Manual (9.2 MB) 110 Pages Available after Purchase Extra Handout (2.22 MB) 23 Pages Available after Purchase Day 1 B/W slides (5.69 MB) 95 Pages Available after Purchase Day 2 B/W slides (4.40 MB) 73 Pages Available after Purchase Day 3 B/W slides (11.63 MB) 102 Pages Available after Purchase Outline DAY 1: Assessment and the Basics of CBT-IAssessmentGoals of assessmentClinical tools for assessing insomniaScreen for other sleep disordersWhen to make a referral to a sleep clinicContraindications for CBT-ISleep and its RegulationNormal sleep architectureTwo-process model of sleep: Circadian rhythm and sleep driveThe arousal systemWhat causes chronic insomnia?Key perpetuating factors for chronic insomniaBehaviors that interfere with “buildup” of sleep driveBehaviors that interfere with the optimal timing of sleepConditioned arousal and physiological/ cognitive hyperarousalPerpetuating factors and CBT-IStep-by-Step Guide to CBT-I: Stimulus Control and Sleep Restriction TherapiesStimulus Control (SC): Addressing conditioned arousalRules for re-associating the bed with sleepIdentify and overcome potential obstacles to adherenceSleep Restriction Therapy (SRT): Restoring the sleep driveHow to present rationaleCalculate time-in-bed prescriptionPlacing the time-in-bed windowIdentify and overcome potential obstacles to adherenceSleep extensionCombining SC and SRTThe myth of sleep hygieneStep-by-Step Guide to CBT-I: Cognitive Therapy and Counter-arousalCounter-arousal strategies: Quieting an active mindEstablishing a buffer zoneProcessing strategies (including constructive worry and rumination strategies)Mindfulness and relaxation therapiesCognitive therapy: Identify and change distorted thoughts about sleepThought RecordsBehavioral ExperimentsSocratic QuestioningImplementation IssuesModels of DeliveryFour session individual therapy formatSeven session group therapy formatSingle session CBT-ICBT-I and hypnotic medicationPractice guidelines: CBT-I as first line treatment for chronic insomniaCombining CBT-I with sleep medicationPositive and negative effects of sleep medicationsUse of ineffective sleep medicationsPromote non-contingent use of sleep medicationStrategies to support hypnotic discontinuationDAY 2: Delivering CBT-I in the Context of ComorbiditiesDepressionCBT-I and MDDTroubleshooting adherence in depressed patientsAnhedoniaSleep or bed as avoidanceFatigue and fatigue management strategiesRumination in depressionCase examplesSleep and antidepressantsAnxietySleep effort: Core target of CBT-ICovert manifestations of sleep effortCognitive restructuring of sleep anxietyParadoxical IntentionTroubleshooting adherence with anxious clientsWhen SRT/SC increase anxietyCounter control and sleep compressionHigh sleep anxiety vs high arousalPanic Disorder and nocturnal panicOCD and CBT-ITraumaSleep and PTSDCBT-I trials in PTSDBehavioral targets in clients with insomnia vs PTSDCommon treatment challenges in clients with PTSDNightmares and nightmare treatmentsTraumatic Brain Injury (TBI)Comorbid TBISleep and TBIEfficacy of CBT-I in mild TBI (mTBI)Modify insomnia treatment for mTBIChronic PainEfficacy of CBT-I for those with chronic painChronic pain and stimulus controlCommon treatment challenges in clients with chronic painPain medications and other considerationsHypnotic DiscontinuationCombined guided hypnotic taper approachFactors sustaining hypnotic dependenceUnhelpful beliefsLearningStrategies to support client during hypnotic taperPsychoeducation about psychological dependence and rebound insomniaCognitive therapy to target unhelpful beliefsSample taper schedulesDAY 3: Co-Occurring Sleep Disorders and Advanced Case FormulationCo-Occurring Sleep ApneaObstructive sleep apnea (OSA)Morbidity and mortality of OSARelationship of nocturia and OSASleep apnea treatmentsObstacles to treatment adherencePhysical comfortMechanical problemsSocial and other factorsPsychological factorsImprove adherenceWork with stages of changeRespond to common concernsCPAP desensitization for claustrophobiaTreating insomnia in patients with comorbid OSACircadian Rhythm Sleep DisordersUsing light to leverage circadian timekeeper“Exogenous” circadian challengesCope with shift workAdjust to jet lag“Endogenous” circadian disorders: Advanced and delayed sleep phasePhototherapy for delayed sleep phaseImagery Rehearsal Therapy for NightmaresNightmares and nightmare disorderDifferential diagnosisAssessmentSelf-monitoring via nightmare logCombine nightmare log and sleep diaryImagery Rescripting and RehearsalPsychoeducation and rationaleNightmares and traumaShaping imagery skillsIRT stepsPrazosin for nightmaresAdvanced Case Formulation in CBT-ICase conceptualization: Asking the right questionsCase Formulation FormFactors weakening sleep driveFactors weakening the clockEvidence of hyperarousalUnhelpful sleep behaviorsComorbiditiesCase Examples Faculty Meg Danforth, Ph.D., CBSM Related seminars and products: 3 Meg Danforth, Ph.D., CBSM, is a licensed psychologist and certified behavioral sleep medicine specialist who provides advanced clinical care to patients with sleep disorders and comorbid medical and mental health issues.