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Evidence Based Insomnia Disorder Treatment for Adults with Depression and Anxiety

Colleen Carney

21 Apr 2023

Introduction

On April 21 2023, Dr Colleen Carney delivered a full day workshop on Evidence Based Insomnia Disorder Treatment for Adults with Depression and Anxiety

Content

There is considerable dated misinformation about insomnia treatment in the media and on theinternet (e.g., Sleep hygiene is an effective treatment for insomnia, melatonin is an effectivesleep aid for sleep, avoid blue light). This makes it difficult for non-sleep specialist clinicians toknow how to effectively treat a frequently co-occuring disorder like insomnia disorder, in their clients with depression and anxiety. Cognitive Behavioural Insomnia Therapy (CBT-I) is an effective, brief treatment with strategies that are complementary to cognitive behaviouraltreatments for depression and anxiety. This workshop will begin with an overview of insomnia and its causes, followed by a detailed presentation of how sleep problems can be effectively assessed outside of the sleep laboratory setting. Attendees will receive a brief, easy-to-understand background in sleep regulation in order to effectively troubleshoot problems. You will learn how to implement CBT-I in those with commonly co-occurring disorders such as depressive or anxiety disorders. In addition to training in the basics of CBT-I for insomnia, this workshop will cover whether adjustments to CBT maybe necessary in the context of trauma, mood, and anxiety disorders

Learning Objectives

By the end of this workshop, participants willlearnto:
Conduct a sleep assessment in anon-sleep specialty setting
Identify and modify behaviours that interfere with the build-up of deep sleep drive
Design behavioural experiments that challenge sleep beliefs
Troubleshoot issues relating to anxiety, depression, and trauma
Present an integrated case formulation of anxiety, depression and sleep difficulties, andselect complementary evidence-based strategies
Explore fatigue management strategies with clients

Training Modalities

The workshop will include didactic content as well as opportunities for interaction and Q&A.

Key References

1. Buysse, D. J., Ancoli-Israel, S., Edinger, J. D., Lichstein, K. L., & Morin, C. M. (2006). Recommendations for a standard research assessment of insomnia. Sleep, 29(9),1155-1173.

2. Edinger, J. D., Arnedt, J. T., Bertisch, S. M., Carney, C. E., Harrington, J. J.,Lichstein, K. L., ... & Martin, J. L. (2021). Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment. Journal of Clinical Sleep Medicine, 17(2), 263-298.

3. Edinger, J. D., Arnedt, J. T., Bertisch, S. M., Carney, C. E., Harrington, J. J.,Lichstein, K. L., ... & Martin, J. L. (2021). Behavioral and psychological treatments forchronic insomnia disorder in adults: an American Academy of Sleep Medicine clinicalpractice guideline. Journal of Clinical Sleep Medicine,17(2), 255-262.

4. Harvey, A. G. (2002). A cognitive model of insomnia. Behaviour research andtherapy, 40(8), 869-893.

5. Hiller, R. M.,Johnston, A., Dohnt, H., Lovato, N., & Gradisar, M. (2015). Assessingcognitive processes related to insomnia: a review and measurement guide for Harvey's cognitive model for the maintenance of insomnia.Sleep Medicine Reviews, 23, 46-53

About the presenter

Dr Colleen E. Carney is a Professor in the Department of Psychology at Toronto Metropolitan University, where they are the Director of theSleep and Depression Laboratory. They are the current President of the Association for Behavioral and Cognitive Therapies (ABCT), Behavioral Sleep Medicine Special Interest Group. Dr. Carney was previously on faculty at Duke University Medical Center, where they were a recipient of the prestigious National Sleep Foundation’s Pickwick Fellowship. With over 100 publications and hundreds of workshops, Dr. Carney is one of Canada’s leading experts in psychological treatments for insomnia, particularly in the context of co-occurring mental health issues. Dr. Carney is a passionate advocate for improving the availability of treatment for those with insomnia and other health problems.

Who should attend

Anyone who sees adults with insomnia as one of the co-occuring conditions shouldattend

Low Intensity clinical contact hours survey - BABCP Low Intensity Special Interest Group

Please click below if you are interested in contributing to the survey.

 

The BACP Low Intensity SIG are interested in the impact of clinical contact hours on Low Intensity/Wellbeing Practitioner wellbeing. This questionnaire contains six multi-choice questions and a free text box for you to share your experiences. The answers to these questions will help the BABCP SIG plan how to meet CPD topics and other developments within the SIG.  The SIG hope to produce a write up of the answers to this questionnaire to be shared with SIG members and to be used in training.

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This FREE conference is for Psychological Wellbeing Practitioners working in Talking Therapies for Anxiety and Depression services and is brought to you by Bespoke Mental Health in collaboration with the NHS National PWP Leads Network.

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