Effective solutions for Insomnia Disorder and Major Depression: Integrating Cognitive Behavioural Insomnia Therapy with CBT for Depression

Prof. Colleen Carney, psychologist

Learn the best way to treat insomnia with specific and effective CBT protocols.

Excerpt: reasons to use cognitive behavioral therapy for insomnia

Download an outline here

  • 6h of continuing education
  • 35 lessons that last from 5 to 15 minutes each
  • 1 certificate of achievement
  • 1 power-point
  • 1 bibliography
  • 1 course evaluation
  • 4 months unlimited access
  • 7-day money back guarantee

Overview

Many clients being treated for depression suffer from a co-occurring chronic insomnia. If the insomnia is untreated, there is a greater likelihood of poorer outcomes and greater relapse, and the assumption the insomnia will remit after depression treatment is not empirically supported. There are many components of CBT for insomnia (CBT-I) that are complementary to other CBT protocols. For example, increased time spent out of bed during CBT-I is compatible with the integration of behavioral activation, as well as cognitive behavioral strategies for fatigue. Providing clients with psychoeducation about the overlap between pro-alertness, pro-sleep, and pro-mood of optimally-timed, manageable activity increases can be helpful across several comorbidities and increase treatment buy-in and motivation. Likewise, the focus on modifying safety behaviours and threat monitoring, as well as challenging perfectionistic and other unhelpful beliefs, is compatible with the focus of providing anxiety strategies.

This workshop will provide considerations for decision-making about sequencing and integration of treatments, as well as suggestions for combining treatments. The workshop includes didactic instruction, experiential exercises, demonstrations, and clinical handouts from a leader in the field of cognitive behavioural treatment of comorbid insomnia.

About the expert

Picture of Colleen Carney

Dr. Colleen Carney is an associate professor in the Psychology Department at Ryerson University and the director of the Sleep and Depression Laboratory. She is a leading expert in the treatment of insomnia, particularly in the context of co-occurring illness. She has over 100 publications on insomnia including six books. Her recent books for professionals include Treatment Plans and Interventions for Insomnia: A Case Formulation Approach, and books for clients include Goodnight Mind: Turn Off Your Noisy Thoughts and Get a Good Night’s Sleep. Dr. Carney is a lively presenter and a passionate advocate for improving access to effective treatment.

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Learning objectives

  1. Understand the three causes of chronic insomnia;
  2. Match the main components of CBT-I to the three causes of insomnia and combine CBT-D and CBT-I without adding sessions;
  3. Troubleshoot difficulties with getting clients out of bed;
  4. Collaboratively devise a new sleeping schedule with clients.

Learning material

This workshop includes theory as well as clinical examples. It includes videos ranging from 5-15 minutes in length. The PowerPoint of the workshop can be downloaded.

Content

  • Powerpoint
  • Clinical handouts
  • 1. Introduction
  • 2. Reasons to use cognitive behavioral therapy for insomnia
  • The basics of assessment

  • 3. What is insomnia?
  • 4. How to assess?
  • Other Sleep Disorders

  • 5. The Epworth sleepiness scale
  • 6. Sleep apnea
  • 7. Referral
  • Sleep regulation: Understanding what regulates sleep to understand insomnia

  • 8. Homeostatic mechanism
  • 9. Body clock essential
  • 10. What causes chronic insomnia?
  • 11. Homeostatic perpetuating factors
  • 12. Process C-Cicardian perpetuating factors
  • 13. The arousal system
  • Step-by-Step Guide to cognitive behavioral therapy for insomnia

  • 14. Stimulus control
  • 15. Why people can't get up at the designated rise time?
  • 16. People who don't feel like getting up in the morning
  • 17. Bed as an escape
  • 18. Sleep restriction therapy
  • 19. Determine time in bed window
  • 20. Combined SRT-Stimulus control summary
  • 21. Sleep hygiene
  • Counter Arousal

  • 22. Buffer zone
  • 23. Processing strategies
  • Cognitive Therapy

  • 24. Two basic core beliefs
  • 25. Let's try an experiment
  • 26. Session outline
  • Implementation Issues

  • 27. Treat depression, insomnia, or both
  • 28. Combined psychoeducation
  • 29. A study about people with depression and insomnia
  • 30. BABIT
  • 31. The people who can't do it because they feel too tired
  • 32. Case study
  • 33. Adaptation
  • 34. Medication
  • Questions

  • 35. Questions
  • Bibliography


CE Credits

Download a certificate of successful completion.



Audience

This training is intended for mental health professionals.

Registration

  • 6h of continuing education
  • 35 lessons that last from 5 to 15 minutes each
  • 1 certificate of achievement
  • 1 power-point
  • 1 bibliography
  • 1 course evaluation
  • 4 months unlimited access
  • 7-day money back guarantee

What our customers are saying

« This course was super easy to access, the materials are clinical useful and I will be able to use them right away. The presenter is funny and very knowledgeable. I learned so many things I did not know about this topic. I will take a course on this platform again – there were no glitches with using it at all. Highly recommend. »

A psychologist (Canada)

« Outstanding presenter. Polished, engaging and witty. Learned a lot, but will be reviewing as there was so much new information for me. Thank you for this incredible experience. »

A psychologist (Canada)

« It was an excellent course and the amount of information was extensive so it could have been done in a two-day format. »

A psychologist (Canada)

Legal notice

The courses offered by ASADIS are accredited by different professional organisations. In addition, ASADIS is approved by the Canadian Psychological Association to offer continuing education for psychologists. ASADIS maintains responsibility for the program.

The CPA’s approval of an individual, group, or organization as a CE Sponsor or Provider is restricted to the activities described in the approved application or annual report form. The CPA’s approval does not extend to any other CE activity the Sponsor or Provider might offer. In granting its approval, the CPA assumes no legal or financial obligations to Sponsors, Providers, or to those individuals who might participate in a Sponsor or Provider’s CE activities or programs. Further, responsibility for the content, provision, and delivery of any CE activity approved by the CPA remains that of the CE Sponsor or Provider. The CPA disclaims all legal liability associated with the content, provision, and delivery of the approved CE activity.

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