Name: Donn Posner – Treating Insomnia: Transdiagnostic Clinical Strategies to Optimize Sleep & Improve Outcomes in Clients with PTSD, Anxiety, Depression & Chronic Pain
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Faculty:: Donn Posner
Duration:: 6 Hours 31 Minutes
Format:: Audio and Video
Copyright:: Jul 24, 2019

Description

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

Faculty

Donn Posner, Ph.D., DBSM Related seminars and products: 4

Psychologist

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.

Salepage: https://catalog.pesi.com//item/treating-insomnia-transdiagnostic-clinical-strategies-optimize-sleep-improve-outcomes-clients-ptsd-anxiety-depression-chronic-pain-48243

Archive: https://archive.ph/wip/XndLN

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