Psychological Treatment of Insomnia

Dr Kirstie Anderson

Wednesday, 14 September 2022

Introduction

Sleep is vital for normal mood, memory and metabolism. While sleep and circadian rhythm disturbance is seen in all mental health disorders, insomnia disorder also causes significant distress. Cognitive behavioural therapy for insomnia (CBTi) is evidence based, effective and remains underused despite meta-analyses confirming large effect size but also showing CBTi strategies remain effective long term (van der Zweerde et al. 2019). CBTi remains effective for insomnia comorbid with other psychiatric and medical conditions


The event will be equivalent to 2.3/4hrs of CPD.

Content

This training will go through normal sleep over the lifespan looking at both sleep physiology and changes with age. Assessment of abnormal sleep covering the different sleep disorders including insomnia and the specific, sleep diary based components of CBT for insomnia

Learning Objectives

1. Understanding of sleep and it’s function
2. How to assess sleep and circadian rhythm for those who are sleeping badly
3. Understanding of the key components of CBT for insomnia

Training Modalities

Didactic content, Q&A, patient and simulation videos, knowledge quiz

Key References

1. Anderson KN. Insomnia and cognitive behavioural therapy—how to assess your patient and why it should be a standard part of care. J Thorac Dis 2018;10(Suppl1):S94-S102. doi: 10.21037/jtd.2018.01.35
2. Xu, Z., & Anderson, K. (2019). Real-world evaluation of digital CBT for insomnia in the primary care setting – many should not log on to doze off. The Cognitive Behaviour Therapist, 12, E39. doi:10.1017/S1754470X19000242
3. Stott, R., Pimm, J., Emsley, R., Miller, C.B., Espie, C.A., Does adjunctive digital CBT for insomnia improve clinical outcomes in an improving access to psychological therapies service?, Behaviour Research and Therapy, Volume 144, 2021, doi.org/10.1016/j.brat.2021.103922.
4. Riemann D, Baglioni C, Bassetti C, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res. 2017 Dec;26(6):675-700. doi: 10.1111/jsr.12594. Epub 2017 Sep 5. PMID: 28875581.

About the presenter

I work within one of the largest UK sleep services with over 15 years treating all of the primary sleep disorders including insomnia. Within Newcastle, we have developed and validated an online version of CBT for insomnia (Sleepstation) and run annual face to face sleep training days for the last 8 years. I am the past president the sleep medicine section of the Royal Society of Medicine and was insomnia lead on the Department of Health expert reference group for IAPT. https://www.ted.com/talks/kirstie_anderson_stories_from_the_sleep_clinic_better_nights_for_better_days

Who should attend

The event is suitable for a wide range of health professionals including but not limited to those working in Scotland, English mental health services including but not only IAPT low and high intensity workers. It is suitable for those working with both in-patient and out patient services in primary and secondary care.