Seminar Detail

Treating Insomnia: Evidence-Based Strategies to Help Your Clients Sleep
Treating Insomnia: Evidence-Based Strategies to Help Your Clients Sleep

Where:  BLOOMINGTON, MN

When:  Tuesday, March 21, 2017 at 8:00 AM - 4:00 PM

This event is no longer available for purchase.

Other ways to Register: Call (800) 844-8260  
Course Description:

One of the biggest mistakes you as a clinician can make is NOT asking about the client’s sleeping habits. We all know the necessity of sleep – especially for those who are depressed, anxious, obsessively worried, or in chronic pain – yet often we overlook this. And worse, we think there’s nothing we can do to help them.

Join me, Meg Danforth Lineberger, and I’ll show you successful, proven techniques I’ve developed over nearly 20 years on how to optimize your clients sleep – without medication!

Discover 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 I will show you can be easily integrated into existing treatment for depression, chronic pain, trauma and anxiety.

Take the next step and join me today, I will help you learn new assessment tools, step-by-step CBT, and counter-arousal strategies that your client can immediately use. My engaging workshop will include discussion of case vignettes, experiential exercises, examples of sleep logs and other tools to use in your clinical practice.

Objectives:

  1. Identify sleep disorders which require referrals to a sleep center.
  2. Integrate strategies to build a stronger drive for deep sleep.
  3. Discuss why CBT-I is effective for clients with co-occurring issues such as pain, depression, anxiety or trauma.
  4. List treatment strategies clients can easily implement to manage their fatigue.
  5. Design behavioral experiments for clients to test unhelpful beliefs about sleep.
  6. Identify conditioned arousal and teach clients strategies to reverse it.
OUTLINE

Sleep Regulation
  • Sleep homeostasis
  • Behaviors that interfere with the build-up of sleep-drive
  • The circadian system
  • Behaviors that interfere with optimal timing of sleep
  • Arousal system: behaviors that cause conditioned arousal and cognitive emotional hyperarousal
Assessment
  • How to get useful information from sleep diaries
  • The difference between sleepiness and fatigue
  • When to make a referral to a sleep clinic
  • Other assessment issues
Sleep Medications
  • Why some medications do not work
  • CBT-I as the most effective and longer lasting treatment
Cognitive Behavior Therapy for Insomnia (CBT-I)
  • Sleep Restriction Therapy (SRT): Restore the Sleep Drive
    • Calculate optimal time-in-bed prescription
    • Collaborate on the best “sleep window”
    • Special cases: when to use sleep compression instead
  • Stimulus Control (SC): Addressing Conditioned Arousal
    • Select an optimal standard rise time
    • Fatigue management strategies to eliminate napping
    • Special cases: when to use counter control instead
    • Combining SC and SRT in one-session CBT-I
Counter-arousal Strategies
  • Identify and change negative thoughts that keep people awake
  • Behavioral experiments
  • Thought records
  • The buffer zone
  • Socratic questioning
  • Structured, scheduled problem-solving
  • Mindfulness
  • Troubleshooting difficulties with adherence
  • High sleep anxiety vs. high arousal
  • Awakenings from pain, hot flashes, panic or nightmares
  • Using light and activation in those with depression
Modifications to CBT for Insomnia in Complex Cases & Comorbidity
  • Major Depressive Disorder
  • Chronic Pain
  • Anxiety disorders
  • Post-Traumatic Stress Disorder
Implementation Issues
  • Relapse prevention
  • Delivery Issues

MARGARET MARION DANFORTH, PH.D., CBSM

Meg Danforth, Ph.D., is a licensed psychologist and certified Behavioral Sleep Medicine Specialist who has been helping people sleep better without medication for the past 13 years. She is a leading expert in psychological treatments for insomnia, particularly in the context of co-occurring medical and mental health issues.

Dr. Danforth has a full time behavioral sleep medicine practice at Duke University Medical Center. Her work has been featured in the Associated Press, CBS News, and the Daily Mail. Dr. Lineberger is a passionate advocate for improving patient access to behavioral insomnia treatments, and she offers training opportunities for psychologists, physicians, and other behavioral healthcare providers both at Duke and through invited workshops throughout the United States.



Speaker Disclosures:

Financial: Margaret Marion Danforth is a clinical associate at Duke University Medical Center. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Margaret Marion Danforth is a member of the Association for Behavioral and Cognitive Therapies.
ADDICTION COUNSELORS
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This course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 6.0 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance.


COUNSELORS
This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

MINNESOTA COUNSELORS: Application for MN BBHT continuing education credits has been submitted. Please contact us at 800-844-8260 or info@pesi.com for the status of LPC CE hours.

WISCONSIN COUNSELORS: This intermediate activity is approved for 6.25 clock hours of continuing education instruction. The State of Wisconsin Department of Regulation and Licensing recognizes courses and providers that are approved by the American Psychological Association, ASWB or NAADAC. A certificate of attendance will be awarded at the end of the program to counselors who complete the program evaluation, to submit to their state board.


MARRIAGE & FAMILY THERAPISTS
This activity consists of 380 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. You should save this course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

MINNESOTA MARRIAGE & FAMILY THERAPISTS: An application has been submitted to the Minnesota Board of Marriage & Family Therapists. Credit is pending.

WISCONSIN MARRIAGE & FAMILY THERAPISTS: This course has been submitted to the Wisconsin Association for Marriage and Family Therapy for review. Credit is pending.


NURSE/NURSE PRACTITIONERS/CLINICAL NURSE SPECIALISTS
This activity meets the criteria for a American Nurses Credentialing Center (ANCC) Activity PESI, Inc, is an approved provider by the American Psychological Association, which is recognized by the ANCC for behavioral health related activities.

This activity qualifies for 6.25 contact hours.


PSYCHOLOGISTS
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PESI, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. PESI maintains responsibility for this program and its content. PESI is offering this activity for 6.25 hours of continuing education credit. Full attendance is required; no partial credits will be offered for partial attendance.


SOCIAL WORKERS
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PESI, Inc. Provider #:1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, 2017 - January 27, 2020. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 6.25 (Clinical) continuing education clock hours for this intermediate course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

MINNESOTA SOCIAL WORKERS: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This course has been approved for 6.0 continuing education hours.


OTHER PROFESSIONS
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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