Getting Out of Bed: Using Behavioral Sleep Medicine Strategies to Help your Clients with Depression and Anxiety
Thursday March 8, 2018 from noon to 1pm EST
Featuring: Dr. Colleen Carney, PhD
Dr. Colleen E. Carney is an Associate Professor and Director of the Sleep and Depression Laboratory at Ryerson University, Toronto, Canada. She is the current President of the Association for Behavioral and Cognitive Therapies (ABCT), Insomnia and Other Sleep Disorders Special Interest Group. Dr. Carney was previously on faculty at Duke University Medical Center, where she was a recipient of the prestigious National Sleep Foundation’s Pickwick Fellowship. Her main research areas are: how to best treat insomnia in the context of other mental health conditions and understanding comorbid insomnias. Her research has received support from the National Institute of Mental Health (R01 MH076856), National Institute of Nursing Research (R21 NR010539), the Canadian Institute of Health Research, and the Social Science and Humanities Research Council. She received the Early Researcher Award from the Ministry of Research and Innovation. As part of her clinical trial research, she and her students provide free Cognitive Behaviour Therapy for those with insomnia and other conditions. She trains students and mental health providers in Cognitive Behaviour Therapy for Insomnia at invited workshops, and international conferences each year, as well she helps practices implement CBT-I via intensive staff training and long-term consultation in varied treatment settings (e.g., primary, family care, mental health clinics). She has numerous publications on the topic of cognitive vulnerability to insomnia and depression, and is a passionate advocate for improving treatment options for those with insomnia and other health problems.
This webinar provide specific, practical tools to integrate evidence-based insomnia and fatigue strategies into your existing evidence based anxiety and depression protocols. This webinar answers questions such as, “How can I encourage my client to get out of bed in the morning if they have anhedonia?” “What if I want my client to spend less time in bed, but the bed is a place of escape from emotional pain?” “How can I encourage my client to engage in behavioral activation when they believe they cannot do anything until their sleep is “fixed”? “What can I do about rumination or worry in bed?”
When 200 treatment providers were asked which technique they are most likely to use with their clients with insomnia, almost all reported using sleep hygiene as their most likely tool (Lachowski, Carney & Moss, 2013). Unfortunately, sleep hygiene is not a monotherapy supported by evidence (Morin et al., 1999; 2006). So, if sleep hygiene is not an empirically supported therapy, what is?
Behavioral sleep medicine offers a range of effective cognitive behavioral techniques for insomnia and fatigue. These cognitive behavioral techniques can easily and immediately be incorporated into your practice and include stimulus control (Bootzin, 1972; Morin, 1999; 2006), sleep restriction and extension (Morin, 1999; 2006; Spielman et al., 1987), chronobiological interventions (e.g., Harvey, 2015; Spielman et al., 1987) and cognitive behavioral fatigue management (e.g., White et al., 2011).
Effective strategies are needed in those with depression and anxiety: several studies suggest that insomnia predicts the onset of depression and anxiety disorders. Untreated insomnia also predicts poorer treatment outcomes and poorer long-term outcomes for depression and anxiety.
At the end of this session participants will be able to:
1. Explain to integrate behavioral activation with effective insomnia and fatigue techniques.
2. Leverage the circadian system to increase activation in those with depression.
3. Design behavioral experiments to challenge sleep-related anxiety.
Intermediate / Advanced
This webinar is eligible for 1 CE/ credit hour.