Seminar Detail

Treating Insomnia: Transdiagnostic Clinical Strategies to Optimize Sleep & Improve Outcomes in Clients with PTSD, Anxiety, Depression & Chronic Pain
Treating Insomnia: Transdiagnostic Clinical Strategies to Optimize Sleep & Improve Outcomes in Clients with PTSD, Anxiety, Depression & Chronic Pain

Where:   BURLINGTON, VT

When:  Thursday, July 25, 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:

If you aren’t asking about your clients’ sleep, you’re making mistakes as a clinician. All clinicians should know how to properly assess and treat insomnia – sleep is that important for your clients’ health and quality of life.

It’s no secret that insomnia frequently develops as a result of PTSD, anxiety, depression, chronic pain, and a wider variety of other behavioral and medical disorders. Traditional wisdom has been that if you treat the primary disorder, the insomnia will go away. However, the data does not support this traditional wisdom. Although the primary disorder improves somewhat, the insomnia often does not, which can lead to diminished improvements in clinical outcomes regarding the primary disorder, increased dropout rate and higher relapse rates.

Despite you doing everything you can to target the primary disorder, your client continues to be tired and struggles more with symptoms of the primary disorder, leaving you frustrated and overwhelmed because you don’t know what to do next. The truth is, when clients have PTSD, anxiety, depression, or chronic pain, their symptoms are made worse --- and treatment more difficult --- when they’re not able to sleep. Therefore, the insomnia must be targeted directly.

Improve clinical outcomes in clients by integrating the treatment of insomnia into your practice!

Join Diplomate in Behavioral Sleep Medicine Donn Posner, Ph.D., and he’ll walk you step-by-step through the treatment of insomnia. You’ll learn how to properly assess and develop a treatment plan for insomnia, as well as how to educate your clients about sleep to make them experts on their own sleep disorders. Discover evidence-based strategies to help your clients sleep longer and more efficiently, as well as enjoy increased energy levels during the day. As a result, your clients’ symptoms of PTSD, anxiety, depression, and chronic pain will decrease in frequency and severity.

You’ll walk away from this course with the tools you need to treat insomnia. Better still, you’ll add vital techniques to your clinical tool kit that you didn’t know were missing.

Register today to learn how to treat insomnia and revolutionize your treatment outcomes!
Objectives:

  1. Summarize the basics of sleep nomenclature including sleep period, phase, continuity, and architecture to inform clinical treatment interventions.
  2. Conduct a clinical assessment to differentiate acute insomnia from insomnia disorder in clients and articulate the importance of treating the chronic form as a specifically targeted co-morbidity.
  3. Explore the empirical evidence for the efficacy of CBT-I for both primary and co-morbid insomnia disorder to inform the clinician’s choice of treatment interventions.
  4. Articulate the basics of sleep regulation and demonstrate how to utilize these concepts in the deployment of CBT-I in clinical practice.
  5. Identify how to obtain useable client sleep diary data and strategies for analyzing the data for use in the treatment of insomnia.
  6. Apply the techniques of stimulus control, sleep restriction, sleep hygiene education and cognitive therapeutic strategies to the clinical treatment of chronic insomnia.
OUTLINE

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
Assessment & Treatment Planning
  • 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
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
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
Sleep Restriction Therapy (SRT): Strengthen the Sleep Drive and Signals From the Circadian Clock
  • 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 (SC): Address Conditioned Arousal
  • 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
Cognitive Therapy: Help Clients Change Thoughts & Beliefs that Interfere with Sleep
  • 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
Target Audience

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

DONN POSNER, PHD, CBSM

Donn Posner, Ph.D., a Diplomate of Behavioral Sleep Medicine (DBSM), is working as a clinical/research psychologist for the Palo Alto VA.

Prior to his role at the VA, he spent 25 years as a clinical associate professor at Brown Medical School. He served as the director of clinical behavioral medicine for Rhode Island and Miriam hospitals and was also the director of behavioral sleep medicine for the Sleep Disorders Center of Lifespan Hospitals. For 20 of those years, Dr. Posner served as the primary supervisor for a rotation of the behavioral medicine track of the clinical psychology internship at Brown. He also mentored post-doctoral fellows and lectured on behavioral sleep medicine and anxiety disorders to interns, fellows, and residents in internal medicine and psychiatry. In addition, 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.

Dr. Posner is one of the authors of Cognitive Behavioral Treatment of Insomnia: A Session-by-Session Guide (New York: Springer/Verlag). The book is intended for clinical trainees and non-insomnia sleep specialists, as well as more experienced clinicians from outside the sleep medicine field who wish to learn how to provide empirically validated cognitive behavioral treatment for insomnia (CBT-I).

Dr. Posner is a member of the American Academy of Sleep Medicine and became one of the first certified behavioral sleep medicine specialists recognized by that group. He is also a founding member of the Society of Behavioral Sleep Medicine and has achieved the status of Diplomate with the SBSM, the highest level of qualification and competency that the organization bestows.



Speaker Disclosures:

Financial: Donn Posner is adjunct clinical associate professor at Stanford University of Medicine. He is a clinical researcher for Palo Alto Veterans Institute for Research. Dr. Posner receives a speaking honorarium from PESI, Inc.

Non-financial: Donn Posner is a member of the American Psychological Association; Association for Behavioral and Cognitive Therapies; and the American Academy of Sleep Medicine.
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.

New York Addiction Professionals: This course has been approved by OASAS for 6.25 clock hours toward Initial Credentialing for Renewal for CASAC, or CPP or CPS. Board required certificates will be sent after the program.


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.

Maine 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.

New Hampshire 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.

New York Counselors: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

Vermont Counselors: This activity is approved by the Board of Allied Mental Health Practitioners (BAMHP) for 6.25 continuing education credits.


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
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PESI, Inc. is accredited as a provider of continuing nursing education 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.


Psychologists
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This activity consists of 6.0 clock hours of continuing education instruction. The following state psychologist boards recognize activities sponsored by PESI, Inc. as an approved ACCME provider: Alaska, Arkansas, California, Colorado, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, Oklahoma, Pennsylvania, South Carolina and Wisconsin. Certificates of attendance will be issued for you to submit to your state licensing board to recognize for continuing education credit.

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

New York Psychologists: This live activity consists of 380 minutes of continuing education instruction and is related to the practice of psychology.

Vermont Psychologists: CE credit is available. This activity is approved by the Board of Psychological Examiners for 6.25 continuing education credits.


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.

New Hampshire Social Workers: This intermediate activity consists of 6.0 Category A credits. 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.

New York Social Workers: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.


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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