Product Detail

Certificate Course in Cognitive Behavioral Therapy for Insomnia (CBT-I)
Course - Online
$569.97 USD
$399.99
Product Details
Format:
Online Course
Authors:
COLLEEN E. CARNEY, PH.D.
MARGARET MARION DANFORTH, PH.D., CBSM
Publisher:
PESI Inc.
Copyright:
4/14/2018
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
CRS001249
Objectives

  1. Select assessment tools that screen for other sleep disorders and identify insomnia treatment targets as it relates to case conceptualization.
  2. Teach clients about the science of sleep and the causes of chronic insomnia for purposes of client psychoeducation.
  3. Ascertain key perpetuating factors for chronic insomnia to understand the etiology of chronic insomnia.
  4. Collaboratively design a sleep schedule with clients using a sleep diary to improve client’s sleep efficiency and daytime functioning.
  5. Combine stimulus control and sleep restriction therapy to address the three major causes of chronic insomnia.
  6. Select counter-arousal strategies to target hyper arousal in clients.
  7. Modify a client’s distorted beliefs about sleep using cognitive therapy techniques to improve adherence and decrease sleep related anxiety.
  8. Explore three models of CBT-I delivery and implementation issues for different practice settings.
  9. Select CBT-I treatment components to target perpetuating factors in clients with comorbid insomnia.
  10. Use cognitive and behavioral strategies to improve adherence with depressed clients.
  11. Modify treatment recommendations for clients who have symptoms of high sleep anxiety.
  12. Anticipate and resolve common treatment challenges in clients with PTSD such as sleep avoidance, fear of loss of vigilance and nightmare awakenings.
  13. Apply CBT-I techniques to clients with mild traumatic brain injury.
  14. Develop strategies to re-associate bed with sleep in clients with chronic pain.
  15. Combine CBT-I with a guided hypnotic taper to reduce rebound insomnia and psychological dependence in clients who wish to decrease or discontinue their use of sleep medication.
  16. Implement clinical treatment strategies to improve CPAP adherence in clients with co occurring obstructive sleep apnea.
  17. Combine behavioral interventions with evidence-based strategies, such as light therapy and strategically-timed melatonin, to “reset the clock” in clients with circadian rhythm sleep disorders.
  18. Use imagery rehearsal therapy to improve frequency and intensity of recurrent nightmares in clients with or without PTSD.
  19. Practice using advanced case formulation techniques to accurately select combination and order of CBT-I components.

Outline

  • DAY 1: Assessment and the Basics of CBT-I
    • Assessment
      • Goals of assessment
      • Clinical tools for assessing insomnia
      • Screen for other sleep disorders
      • When to make a referral to a sleep clinic
      • Contraindications for CBT-I
    • Sleep and its Regulation
      • Normal sleep architecture
      • Two-process model of sleep: Circadian rhythm and sleep drive
      • The arousal system
      • What causes chronic insomnia?
      • Key perpetuating factors for chronic insomnia
        • Behaviors that interfere with “buildup” of sleep drive
        • Behaviors that interfere with the optimal timing of sleep
        • Conditioned arousal and physiological/ cognitive hyperarousal
      • Perpetuating factors and CBT-I
    • Step-by-Step Guide to CBT-I: Stimulus Control and Sleep Restriction Therapies
      • Stimulus Control (SC): Addressing conditioned arousal
        • Rules for re-associating the bed with sleep
        • Identify and overcome potential obstacles to adherence
      • Sleep Restriction Therapy (SRT): Restoring the sleep drive
        • How to present rationale
        • Calculate time-in-bed prescription
        • Placing the time-in-bed window
        • Identify and overcome potential obstacles to adherence
        • Sleep extension
      • Combining SC and SRT
      • The myth of sleep hygiene
    • Step-by-Step Guide to CBT-I: Cognitive Therapy and Counter-arousal
    • Counter-arousal strategies: Quieting an active mind
      • Establishing a buffer zone
      • Processing strategies (including constructive worry and rumination strategies)
      • Mindfulness and relaxation therapies
      • Cognitive therapy: Identify and change distorted thoughts about sleep
        • Thought Records
        • Behavioral Experiments
        • Socratic Questioning
    • Implementation Issues
      • Models of Delivery
        • Four session individual therapy format
        • Seven session group therapy format
        • Single session CBT-I
      • CBT-I and hypnotic medication
        • Practice guidelines: CBT-I as first line treatment for chronic insomnia
        • Combining CBT-I with sleep medication
          • Positive and negative effects of sleep medications
          • Use of ineffective sleep medications
          • Promote non-contingent use of sleep medication
          • Strategies to support hypnotic discontinuation
  • DAY 2: Delivering CBT-I in the Context of Comorbidities
    • Depression
      • CBT-I and MDD
      • Troubleshooting adherence in depressed patients
        • Anhedonia
        • Sleep or bed as avoidance
        • Fatigue and fatigue management strategies
        • Rumination in depression
      • Case examples
      • Sleep and antidepressants
    • Anxiety
      • Sleep effort: Core target of CBT-I
        • Covert manifestations of sleep effort
        • Cognitive restructuring of sleep anxiety
        • Paradoxical Intention
      • Troubleshooting adherence with anxious clients
        • When SRT/SC increase anxiety
        • Counter control and sleep compression
        • High sleep anxiety vs high arousal
      • Panic Disorder and nocturnal panic
      • OCD and CBT-I
    • Trauma
      • Sleep and PTSD
      • CBT-I trials in PTSD
      • Behavioral targets in clients with insomnia vs PTSD
      • Common treatment challenges in clients with PTSD
      • Nightmares and nightmare treatments
    • Traumatic Brain Injury (TBI)
      • Comorbid TBI
        • Sleep and TBI
        • Efficacy of CBT-I in mild TBI (mTBI)
        • Modify insomnia treatment for mTBI
    • Chronic Pain
      • Efficacy of CBT-I for those with chronic pain
      • Chronic pain and stimulus control
      • Common treatment challenges in clients with chronic pain
      • Pain medications and other considerations
    • Hypnotic Discontinuation
      • Combined guided hypnotic taper approach
      • Factors sustaining hypnotic dependence
        • Unhelpful beliefs
        • Learning
      • Strategies to support client during hypnotic taper
        • Psychoeducation about psychological dependence and rebound insomnia
        • Cognitive therapy to target unhelpful beliefs
      • Sample taper schedules
  • DAY 3: Co-Occurring Sleep Disorders and Advanced Case Formulation
    • Co-Occurring Sleep Apnea
      • Obstructive sleep apnea (OSA)
        • Morbidity and mortality of OSA
        • Relationship of nocturia and OSA
        • Sleep apnea treatments
      • Obstacles to treatment adherence
        • Physical comfort
        • Mechanical problems
        • Social and other factors
        • Psychological factors
      • Improve adherence
        • Work with stages of change
        • Respond to common concerns
        • CPAP desensitization for claustrophobia
      • Treating insomnia in patients with comorbid OSA
    • Circadian Rhythm Sleep Disorders
      • Using light to leverage circadian timekeeper
      • “Exogenous” circadian challenges
        • Cope with shift work
        • Adjust to jet lag
      • “Endogenous” circadian disorders: Advanced and delayed sleep phase
        • Phototherapy for delayed sleep phase
    • Imagery Rehearsal Therapy for Nightmares
      • Nightmares and nightmare disorder
        • Differential diagnosis
        • Assessment
          • Self-monitoring via nightmare log
          • Combine nightmare log and sleep diary
      • Imagery Rescripting and Rehearsal
        • Psychoeducation and rationale
        • Nightmares and trauma
        • Shaping imagery skills
        • IRT steps
      • Prazosin for nightmares
    • Advanced Case Formulation in CBT-I
      • Case conceptualization: Asking the right questions
      • Case Formulation Form
        • Factors weakening sleep drive
        • Factors weakening the clock
        • Evidence of hyperarousal
        • Unhelpful sleep behaviors
        • Comorbidities
      • Case Examples

Author

COLLEEN E. CARNEY, PH.D.

Colleen E. Carney, Ph.D., has been solving sleep issues for the past 15+ years. She is a leading expert in psychological treatments for insomnia, particularly in the context of co-occurring mental health issues.

Dr. Carney is the director of the Sleep and Depression Laboratory at the Department of Psychology at Ryerson University. Her work has been featured in The New York Times and she has over 100 publications on insomnia. She frequently trains students and mental health providers in CBT for Insomnia at invited workshops throughout North America and at international conferences. Dr. Carney is a passionate advocate for improving the availability of treatment for those with insomnia and other health problems. For more information, please visit www.drcolleencarney.com

Speaker Disclosures:

Financial: Colleen Carney is a professor at Ryerson University. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Colleen Carney is a member of the Canadian Psychological Association; and the Association for Behavioural and Cognitive Therapies (ABCT).

MARGARET MARION DANFORTH, PH.D., CBSM

Meg Danforth, Ph.D., is a licensed psychologist and certified Behavioral Sleep Medicine Specialist who has been helping people sleep better without medication for the past 15 years. She is a clinician and educator at Duke University Medical Center in Durham, NC. As the Director of the Duke Behavioral Sleep Medicine Clinic, she provides advanced clinical care to patients with sleep disorders and comorbid medical and mental health issues. She also provides clinical training and supervision to psychology graduate students, interns, and fellows. Dr. Danforth is committed to teaching clinicians from a variety of backgrounds to deliver CBT-I in the settings in which they practice. Her work has been featured in the Associated Press and CBS News.

Speaker Disclosures:

Financial: Margaret Marion Danforth is a clinical associate at Duke University Medical Center. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Margaret Marion Danforth is a member of the Association for Behavioral and Cognitive Therapies.
Continuing Education Credits
Save time and $10 off the price of other submission methods – purchase & take the CE test online for $29.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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.


Addiction Counselors
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This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 19.0 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.

California Alcoholism & Drug Abuse Counselors: PESI, Inc. is an approved provider by the CCAPP-EI, Provider #: OS-03-036-1019. This self-study activity meets the qualifications for 19.0 CEH's (continuing education hours).

Connecticut Addiction Counselors: Provider #120924. This course has been approved as a CCB approved training and has been awarded 19.0 hours by the Connecticut Certification Board.


Counselors
This intermediate self-study activity consists of 19.0 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.

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 self-study activity will qualify for 22.75 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

South Carolina Counselors, Marriage & Family Therapists and Psycho-Educational Specialists: This program has been approved for 19.0 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.

Texas Counselors: PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This self-study course qualifies for 19.0 continuing education credits.


Marriage & Family Therapists
This self-study activity consists of 19.0 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 this self-study activity and contact your state board or organization to determine specific filing requirements.

Illinois Marriage & Family Therapists: PESI, Inc. has been approved as a provider of continuing education by the State of Illinois, Department of Professional Regulation. Provider #: 168-000156. Full attendance at this self-study activity qualifies for 19.0 credits.

New York Marriage & Family Therapists: 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 Marriage and Family Therapists. #MFT-0024. This self-study activity will qualify for 22.75 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

Texas Marriage & Family Therapists: PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Marriage and Family Therapists. Provider #: 503. This self-study activity qualifies for 19.0 continuing education credits.


Nurses/Nurse Practitioners/Clinical Nurse Specialists
This intermediate activity consists of 19.0 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.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #: 13305 for 19.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses:
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PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 19.0 self-study contact hours.

*FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 19.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Psychologists
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PESI, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. PESI, Inc. maintains responsibility for this program and its content. PESI, Inc. is offering these self-study materials for 19.0 hours of continuing education credit.

Canadian Psychologists: PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 19.0 self-study continuing education hours.

Florida Board of Psychology:
Florida
PESI, Inc., is an approved provider with the Florida Board of Psychology. Provider Number BAP #77. This product qualifies for 19.0 self-study continuing education credits. Please make sure to bring your license number to the seminar so that we can report your attendance to CE Brokers.

*FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


Social Workers
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PESI, Inc., #1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, 2017 - January 27, 2020. Licensed Social Workers should contact their regulatory board to determine course approval. Social Workers will receive 19.0 (Clinical) continuing education clock hours for completing this self-study package. Course Level: Intermediate.

Canadian Social Workers: PESI, Inc., #1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, 2017 - January 27, 2020. Licensed Social Workers should contact their regulatory board to determine course approval. Social Workers will receive 19.0 (Clinical) continuing education clock hours for completing this Intermediate self-study package. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.

California Social Workers/ Counselors/Marriage & Family Therapists/Licensed Educational Psychologists: This intermediate activity consists of 19.0 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.

Colorado Social Workers: PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This course has been approved for 19.0 continuing education hours. COLORADO PARTICIPANTS ONLY: To be reported to the Colorado Chapter of the NASW, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com and provide the full title of the webcast, speaker name, date of live broadcast, your name and your license number in the email.

Florida Social Workers/Marriage & Family Therapists/Mental Health Counselors:
Florida
PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number BAP #77. This self-study course qualifies for 19.0 continuing education credits.

*FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.

Illinois Social Workers: PESI, Inc. is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 19.0 contact hours.

Kansas Social Workers: PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 19.0 continuing education hours.

Minnesota Social Workers: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study course has been approved for 19.0 continuing education hours. A certificate will be issued upon successful completion of a post-test.

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 self-study activity will qualify for 22.75 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. Expires: December 31, 2020.

Ohio Social Workers/Counselors/Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 19.0 clock hours of continuing education credit.

Pennsylvania Social Workers/Counselors/Marriage & Family Therapists: This intermediate activity consists of 19.0 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. Full attendance is required, variable credits may not be awarded per the Pennsylvania State Board.


Other Professions
This self-study activity qualifies for 19.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test/evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.


Audience
Counselors, Social Workers, Nurses, Psychotherapists, Psychiatrists, Marriage and Family Therapists, Addiction Counselors, Case Managers, Other Mental Health Professionals