Seminar Detail

Cognitive Behavioral Therapy for Insomnia (CBT-I): Evidence-Based Strategies to Help Your Clients Sleep

Tuesday, February 19, 2019 at 8:00 AM - 4:00 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

Up to 80% of your clients may meet the criteria for clinical insomnia.

Missing this diagnosis could slow or even halt your therapeutic progress with clients suffering from depression, trauma, anxiety, or chronic pain.

One of the biggest mistakes you can make as a clinician is NOT asking about your 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 we often overlook this. And worse, we think there’s nothing we can do to help them.

Join me, and I’ll show you successful, proven techniques I’ve developed over the last decade on how to optimize your client’s 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-I, and counter-arousal strategies that your clients 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.

  1. Select assessment tools that screen for other sleep disorders and identify insomnia treatment targets as it relates to case conceptualization.
  2. Teach clients about the science of sleep, causes of chronic insomnia and the impact on overall mental health.
  3. Explore three models of CBT-I delivery and implementation issues for different practice settings.
  4. Specify why CBT-I is effective for clients with co-occurring issues such as pain, depression, anxiety or trauma.
  5. Set-up treatment strategies that clients can easily implement to manage fatigue.
  6. Collaboratively design a sleep schedule with clients using a sleep diary to improve sleep efficiency and daytime functioning.

  • Goals of assessment
  • Clinical tools for assessing insomnia
  • Other sleep disorders
  • When to make a referral to a sleep clinic
  • Contraindications for CBT-I
Sleep Regulation
  • Wakefulness and sleepiness
  • Homeostatic mechanism balances
  • The “body clock”
The Elements of Insomnia
  • Homeostatic perpetuating factors
  • The impact of sleeping in
  • Nap impact on building sleep drive
  • Circadian perpetuating factors
  • The arousal system/conditioned arousal
Step-By-Step Guide To CBT-I: Stimulus Control and Sleep Restriction Therapies

Stimulus Control (SC): Address Conditioned Arousal
  • Rules for reassociating the bed with sleep
  • Identify and overcome potential obstacles to adherence
Sleep Restriction Therapy (SRT): Restore the Sleep Drive
  • How to present rationale
  • Calculate time-in-bed prescription
  • Placing the time-in-bed window
  • Identify and overcome potential obstacles to adherence
  • Sleep extension
  • Combining SC and SRT
  • The myth of sleep hygiene
Step-By-Step Guide To CBT-I: Cognitive Therapy and Counterarousal

Counterarousal Strategies: Quiet an Active Mind
  • Establishing a buffer zone
  • Processing strategies (including constructive worry and rumination strategies)
  • Mindfulness and relaxation therapies
Cognitive Therapy: Identify and Change Distorted Thoughts About Sleep
  • Thought records
  • Behavioral experiments
  • Socratic questioning
Modifications to CBT for Insomnia: Complex Cases & Comorbidity
  • Depression
  • Chronic pain
  • Anxiety
  • PTSD
Limitations of Research and Potential Risks
Target Audience

  • Counselors
  • Social Workers
  • Psychologists
  • Psychotherapists
  • Therapists
  • Addiction Counselors
  • Marriage and Family Therapists
  • Case Managers
  • Nurses
  • Other Mental Health Professionals


Colleen E. Carney, Ph.D., has been solving sleep issues for the past 15+ years. She is a leading expert in psychological treatments for insomnia, particularly in the context of co-occurring mental health issues.

Dr. Carney is the director of the Sleep and Depression Laboratory at the Department of Psychology at Ryerson University. 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

Speaker Disclosures:

Financial: Colleen Carney is a professor at Ryerson University. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Colleen Carney is a member of the Canadian Psychological Association; and the Association for Behavioural and Cognitive Therapies (ABCT).
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.

Addiction Counselors
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.

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.

Massachusetts Counselors: CE credit is available. This program has been approved for 6.25 Category I MaMHCA/MMCEP hours for re-licensure, in accordance with 262 CMR. Expires: 2-13-2020. Full attendance is required; no partial credits will be offered for partial attendance.

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.

Massachusetts Marriage & Family Therapists: This activity has been certified by NEAFAST on behalf of the Massachusetts Board of Registration of Allied Mental Health & Human Services Professions, for LMFT professional continuing education. Full attendance at this activity qualifies for 6.0 contact hours. Certification #: PC-PC- 040028.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists
American Nurses Credentialing Center Logo
PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.

This live 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 and the certificate of completion you receive from this live activity. Contact us for more information on your state board or organization specific filing requirements. American Psychological Association credits are not available.

Social Workers
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

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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