Seminar Detail

Insomnia Treatment: Evidence-Based Strategies to Enrich Sleep & Boost Clinical Outcomes in Clients with PTSD, Anxiety, Chronic Pain & Depression
Insomnia Treatment: Evidence-Based Strategies to Enrich Sleep & Boost Clinical Outcomes in Clients with PTSD, Anxiety, Chronic Pain & Depression

Where:   EUGENE, OR

When:  Tuesday, August 27, 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:

We all know the necessity of sleep – yet we often overlook addressing it in therapy. Your clients with PTSD, anxiety, depression and chronic pain are struggling with symptoms of those disorders, and everything is made worse when they aren’t able to sleep. If your clients aren’t sleeping, do you know what to do about it?

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!

You don’t need to be a sleep specialist to implement these strategies in your office.

Discover evidence-based strategies to help your clients increase energy during the day, sleep more deeply and re-initiate sleep after it’s been disrupted. In addition, you’ll learn how to easily integrate these strategies into existing treatment for trauma, anxiety, depression and chronic pain.

Attend and discover:
  • New tools to assess for sleep quality & sleep disorders other than insomnia
  • Strategies to address conditioned wakefulness and restore your clients’ sleep drives
  • Sleep logs, worksheets and other tools to use in your clinical practice
  • Specific interventions for clients with comorbid PTSD, anxiety, depression or chronic pain
Register today to add insomnia treatment to your therapeutic toolbox!
Objectives:
  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, cause of chronic insomnia and the impact on overall mental health.
  3. Explore three models of insomnia treatment and implementation issues for different practice settings.
  4. Modify insomnia treatment interventions for use with clients who have co-occurring issues such as chronic pain, depression, anxiety or PTSD.
  5. Setup 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.
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
  1. How to present rationale to your client
  2. Calculate time-in-bed prescription
  3. Placing the time-in-bed window
  4. Identify & overcome obstacles to adherence
  5. Sleep extension
  6. How to combine SC & SRT effectively
  7. Sleep hygiene
  8. Case Study: Would you increase time in bed?
Counterarousal Strategies: Five Must-Know 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 sleep 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
Target Audience

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

MARGARET MARION DANFORTH, PH.D., CBSM

Meg Danforth, Ph.D., CBSM, is a licensed psychologist and certified behavioral sleep medicine specialist who provides advanced clinical care to patients with sleep disorders and comorbid medical and mental health issues. She is a clinician and educator at Duke University Medical Center in Durham, NC. As the Director of the Duke Behavioral Sleep Medicine Clinic, she has been helping people sleep better without medication for the past 15 years. She also provides clinical training and supervision to psychology graduate students, interns, and fellows. Dr. Danforth is committed to teaching clinicians from a variety of backgrounds to deliver CBT-I in the settings in which they practice. Her work has been featured in The Associated Press and CBS News.



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.
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 cepesi@pesi.com 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.

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.


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.

Oregon Counselors: This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


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.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This 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 this activity and contact your state board or organization to determine specific filing requirements.

Canadian Psychologists: PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 6.0 continuing education hours. Full credit statement at: www.pesi.com/cpa-statement

California Psychologists: PESI, Inc. is approved by the CPA OPD to sponsor continuing education for psychologists. Provider #PES010. PESI maintains responsibility for this program and its contents. 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., #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.

Washington Social Workers, Counselors, and Marriage & Family Therapists: This activity has been submitted to the Washington Licensed Mental Health Counselors, Licensed Marriage and Family Therapists and Licensed Clinical Social Workers Board. Approval pending.


Other Professions
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