Principles and Practice of CBT-I: Cognitive Behavioral Therapy for Insomnia
Objectives
Define sleep continuity variables and understand how to define chronic insomnia with regard to diagnostic criteria, severity and chronicity
Discuss the consequences of insomnia as they relate to medical and psychiatric co-morbidities of insomnia as well the cost to public health, personal safety, and quality of life
Explain the two process model of normal sleep wake regulation and describe the 3 key treatment implications of the model
Explain both the 3 and 4 factor versions of the Behavioral Model (Spielman Model) of insomnia and discuss the key implications of the model and its relevance for treatment
Summarize the various pharmacological approaches to insomnia and discuss the relative efficacy of CBT-I and pharmacotherapy
Practice a thorough sleep assessment, understand how to use a sleep diary and when polysomnography is needed, and discuss other available assessment tools in insomnia
Discuss how insomnia evolves into a primary and co-morbid condition, how it requires specific and targeted treatment, and who is a good candidate for Cognitive Behavioral Therapy for Insomnia (CBT-I)
Discuss and describe the major components of CBT-I and begin to understand how to handle some basic resistances, as well as describe the existing literature that supports CBT-I as a well-established, efficacious, and front line treatment for primary and secondary insomnia
Outline Day One:
Sleep 101: Overarching Framework
Signs and Symptoms of Sleep Disorders
Definition of Insomnia
Etiology & Pathophysiology of Insomnia (Basic model)
Treating Insomnia - Part I
Treating Insomnia - Part II
Determination of Whether CBT-I is Indicated
Day Two:
CBT-I Session-by-Session Review Orientation
Session I - Intake Evaluation
Session II - Treatment Initiation
Sleep Restriction Procedures and Rationale
Stimulus Control Procedures and Rationale
Session III - Sleep Hygiene
Sessions IV, V, & VI - Titration and Compliance
Day Three:
Session VII - Cognitive Therapy for Insomnia Related Catastrophic Thinking