Donn Posner – Treating Insomnia: Transdiagnostic Clinical Strategies to Optimize Sleep & Improve Outcomes in Clients with PTSD, Anxiety, Depression & Chronic Pain
Donn Posner – Treating Insomnia: Transdiagnostic Clinical Strategies to Optimize Sleep & Improve Outcomes in Clients with PTSD, Anxiety, Depression & Chronic Pain
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Description
- Faculty:
- Donn Posner
- Duration:
- 6 Hours 31 Minutes
- Format:
- Audio and Video
- Copyright:
- Jul 24, 2019
Description
Outline
There are sleep regulation problems. How insomnia develops.
- Factors that weaken the sleep drive
- Factors that weaken the signal of the circadian clock
- How the circadian clock & sleep drive work together to regulate sleep
- How the arousal system interferes with sleep regulation
- Cognitions & behaviors that create cognitive arousal & interfere with sleep
- Identify conditioned insomnia
Treatment planning and assessment.
- Treat insomnia to improve outcomes of PTSD, chronic pain, depression & anxiety
- Why treating a primary mental health disorder won’t cure insomnia
- Insomnia-informed considerations for the clinical interview
- Who is a good candidate for CBT-I
- Hypnotic medications & sleep
- Drugs that can cause sleep disturbance
- Take-home assessment resources
- Sleep diary
- Limitations of research & potential risks
There are assessment factors.
- Assess for comorbid sleep disorders
- Evaluate sleep continuity
- Identify daytime symptoms of insomnia
- Discern bad sleep habits
- Other assessment considerations
- When to refer to a sleep specialist
There is sleep hygiene. Decrease clients vulnerability to insomnia.
- Clock watching & implications for sleep diary
- Environmental concerns
- How eating affects sleep
- When to exercise
- Address caffeine, alcohol & nicotine use
SRT is a sleep restriction therapy. The sleep drive and signals from the clock need to be strengthened.
- Goals of sleep restriction
- Sleep restriction rationale
- SRT: Step-by-step
- Considerations for setting the sleep window
- How & when to extend time-in-bed
- Rules for before-bed activities
- Address clients’ fears about SRT
- Combat difficulty with waking on time
- Troubleshooting insufficient progress
Stimulus Control The address was conditioned arousal-wise.
- Goals of stimulus control
- Rational for stimulus control
- Stimulus control: Step-by-step
- Counter arousal strategies
- Activities for nighttime wakefulness
- Address clients’ practical concerns
- Overcome obstacles to stimulus control
The therapy is called cognitive therapy. Help clients change their thoughts and beliefs.
- Reduce arousal: The buffer zone & worry time
- Educate your client to become an expert on their own sleep disorder
- Tools to identify cognitions & belief that interfere with sleep
- Combat intrusive thoughts during sleep time
- Activities to help clients with arousal
- Reduce sleep effort & worry about lack of sleep
- Correct clients’ unrealistic expectations
- Strategies to restructure thoughts
- Behavioral experiments
Faculty
Donn Posner, Ph.D., DBSM Related seminars and products: 4
Psychologist
Donn Posner is a doctor. A clinical/ research psychologist is working for the Palo Alto VA.
He spent 25 years as a clinical associate professor at Brown Medical School. He was the director of behavioral sleep medicine for the Sleep Disorders Center of Lifespan Hospitals, as well as the director of clinical behavioral medicine. Dr. Posner was the primary supervisor for the behavioral medicine track of the clinical psychology internship at Brown for 20 years. He lectured on sleep medicine and anxiety disorders to interns, fellows and residents. 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.
One of the authors is Dr. Posner. A session-by-session guide for cognitive behavioral treatment of insomnia. New York: Springer/Verlag. The book is intended for clinicians who wish to learn how to provide cognitive behavioral treatment for insomnia (CBT-I), as well as for clinicians who are not in the sleep medicine field.
One of the first certified behavioral sleep medicine specialists was recognized by the American Academy of Sleep Medicine. He is a founding member of the Society of Behavioral Sleep Medicine and has achieved the highest level of qualification and competency that the organization gives.
Speaker disclosures.
Donn Posner is an associate professor at the University of Medicine. He is a researcher at the Palo Alto Veterans Institute for Research. Dr. Posner is a speaker for PESI, Inc.
Donn Posner has memberships in the American Psychological Association, Association for Behavioral and Cognitive Therapies, and the American Academy of Sleep Medicine.
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