Training In CBT & Other Evidence-Based Psychological Therapies
Introduction
Sleep is essential to our health and wellbeing. Yet sleep disruption is common. Sleep problems include difficulty getting to sleep, staying asleep, or sleeping too much. This workshop will focus on how to help patients get better sleep. To achieve this, we will focus on the three factors that promote good sleep: consistent timing, building up the pressure for sleep, and feeling calm and relaxed before bed. The approach draws on cognitive behavioural therapy techniques with adaptations for people with other mental health problems.
The event will be equivalent to 2.3/4 hrs of CPD.
Content
In this workshop we will focus on the three factors that promote good sleep. We will use this framework to understand the range of sleep difficulties and identify the key intervention strategies. We will outline a six-step process to understanding and treating sleep problems:
1. Assessing sleep problems;
2. Identifying factors that disrupt sleep;
3. Setting the sleep window;
4. Building sleep pressure;
5. Feeling calm and relaxed for sleep;
6. Reviewing progress and planning for a future with good sleep.
Learning Objectives
By the end of the workshop, attendees will be able to:
1. Use assessment tools to identify the factors that disrupt sleep and generate a targeted treatment plan;
2. Apply an understanding of circadian rhythms to set a sleep window;
3. Understand how strategies to increase daytime activity help build sleep pressure and align the body clock with the night/day cycle;
4. And describe techniques to help people wind-down and transition from wakefulness to sleep.
Training Modalities
Training will incorporate a range of methods, including: didactic content, self-experiential components, interactive exercises, group discussion, videos, and Q&A.
Key References
Treatment techniques
• Espie, C.A., 2006. Overcoming Insomnia and Sleep Problems: A Self-Help Guide Using Cognitive Behavioural Techniques. Constable and Robinson, London.
• Sheaves, B, Isham, L., Bradley, J., Espie, C., Barrera, A., Waite, F., Harvey, A.G., Attard, C., & Freeman, D. (2018). Adapted CBT to Stabilize Sleep on Psychiatric Wards: A Transdiagnostic Treatment Approach. Behavioural and Cognitive Psychotherapy 46:661-675.
• Waite, F., Myers, E., Harvey, A.G., Espie, C.A., Startup, H., Sheaves, B., Freeman, D., (2016). Treating Sleep Problems in Patients with Schizophrenia. Behavioural and Cognitive Psychotherapy,. 44: 273–287.
• Waite, F., & Sheaves, B. (2020). Better Sleep: Evidence-Based Interventions. J.C. Badcock, G. Paulik (Eds.), A Clinical Introduction to Psychosis. Elsevier: London.
Evidence from randomised controlled clinical trials
• Freeman, D., Waite, F., Startup, H., Myers, E., Lister, R., McInerney, J., Harvey, A.G., Geddes, J., Zaiwalla, Z., Luengo-Fernandez, R., Foster, R., Clifton, L., Yu, L.M., (2015). Efficacy of cognitive behavioural therapy for sleep improvement in patients with persistent delusions and hallucinations (BEST): A prospective, assessor-blind, randomised controlled pilot trial. Lancet Psychiatry, 2: 975–983.
• Waite, F., Černis, E., Kabir, T., Iredale, E., Johns, L., Muaghan, D., Diamond, R., Seddon, R., Williams, N., SleepWell Lived Experience Advisory Group, Yu, L.M., & Freeman, D. (2023). A targeted psychological treatment for sleep problems in young people at ultra-high-risk of psychosis (SleepWell): a parallel group, single-blind, randomised controlled feasibility trial in England. The Lancet Psychiatry, 10, 706-718.
About the presenter
Felicity Waite is a clinical psychologist and researcher at the University of Oxford. The focus of her work is to develop more effective and accessible interventions for people experiencing severe mental health problems. She holds a Wellcome Trust fellowship focused on developing interventions for young people at risk of psychosis and is deputy lead of the Oxford Cognitive Approaches to Psychosis clinical research group at the University of Oxford. She is a consultant clinical psychologist in Oxford Health NHS Foundation Trust.
Who should attend
This workshop is suitable for individuals with a working knowledge of the core principles of cognitive behavioural therapy.