Colleen E. Carney – Insomnia Treatment: Evidence-Based Strategies to Enrich Sleep & Boost Clinical Outcomes in Clients with PTSD, Anxiety, Chronic Pain & Depression
Colleen E. Carney – Insomnia Treatment: Evidence-Based Strategies to Enrich Sleep & Boost Clinical Outcomes in Clients with PTSD, Anxiety, Chronic Pain & Depression
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Description
- Faculty:
- Colleen E. Carney
- Duration:
- 6 Hours 13 Minutes
- Format:
- Audio and Video
- Copyright:
- Jun 25, 2019
Description
| Manual – Insomnia Treatment (1.31 MB) | 38 Pages | Available after Purchase |
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 Address is 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?
SRT is a sleep restriction therapy. Improve sleep quality by restoring the sleep drive.
- 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?
There are counterarousal strategies. There are five must know strategies to quiet an active mind.
- Establish a buffer zone
- Scheduled thinking time
- Combat excessive rumination
- Mindfulness strategies
- Relaxation therapies
The therapy is called cognitive therapy. Change your thoughts about sleep.
- Thought records
- Behavioral experiments
- Socratic questioning
- Case Study: Interpreting thought records
Modification of 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
There is 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 is a doctor. She is the director of the Sleep and Depression Laboratory at Ryerson University. She is an expert in psychological treatments for insomnia and co-occurring mental health issues. Her work has been published. The New York Times. She has over 100 publications on insomnia.
At invited workshops throughout North America and at international conferences, she frequently trains students and mental health providers in CBT for Insomnia. Dr. Carney is passionate about improving the availability of treatment for insomnia and other health problems. You can find more information at www.drcolleencarney.com.
Speaker disclosure
Colleen Carney is a professor at the university. She is paid by PESI, Inc.
Colleen is a member of the Canadian Psychological Association and the Association for Behavioural and Cognitive Therapies.
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