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Colleen E. Carney – Insomnia Treatment: Evidence-Based Strategies to Enrich Sleep & Boost Clinical Outcomes in Clients with PTSD, Anxiety, Chronic Pain & Depression
- Faculty:
- Colleen E. Carney
- Duration:
- 6 Hours 13 Minutes
- Format:
- Audio and Video
- Copyright:
- Jun 25, 2019
Description
Handouts
| 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 (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
- Behavioral experiments
- Socratic questioning
- Case Study: Interpreting thought records
Modify 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
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, 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.
Speaker Disclosure:
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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