Sleep and Mental Health: Non-Medication Interventions to Restore Sleep Quality and Improve Clinical Outcomes

CPD

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Handouts

Speaker

Catherine Darley, ND Related seminars and products

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Catherine Darley, ND, is a leader in integrative sleep medicine. She founded The Institute of Naturopathic Sleep Medicine, Inc in 2003, and since then has helped people of all ages sleep well using behavioral and naturopathic approaches for sleep disorders. Dr. Darley led the Start School Later initiative in Seattle, which succeeded in improving school hours for more than 50,000 students. She teaches at Bastyr University and the National College of Natural Medline and is on the inaugural panel of experts for the Sleep Cycle Institute. Dr. Darley is published in numerous professional journals, has been quoted in several popular magazines, and has appeared on TV to share her expertise. She received her Doctor of Naturopathic Medicine from Bastyr University and completed a preceptorship at the Stanford University Sleep Disorders Center. She is an expert and dynamic speaker, teaching a wide range of groups through engagement, storytelling, and with a clear explanation of the mechanisms of sleep, circadian physiology, and treatment protocols.

 

Speaker Disclosures:
Financial: Catherine Darley has employment relationships with the Institute of Naturopathic Sleep Medicine, Inc and Wellspring EAP. She is a consultant with Symphony Natural Health. Catherine Darley receives a speaking honorarium and recording royalties from PESI, Inc.
Non-financial: Catherine Darley is a member of the Sleep Research Society.

Objectives

1. Analyze which mental health symptoms accompany the many sleep disorders and its clinical implications.
2. Assess your clients’ symptoms for sleep disorders that impair mental health to improve treatment outcomes.
3. Practice psychoeducation with clients to help them identify their individual optimal sleep needs for improved mental health and daily functioning.
4. Develop an optimal individual sleep treatment plan for your clients and implement skills to help them adopt the sleep healthy lifestyle.
5. Determine when referral for further sleep disorders treatment is an appropriate approach to manage symptoms.
6. Evaluate the mechanisms by which insufficient sleep and sleep disorders contribute to mental health problems for purposes of client psychoeducation.

Outline

• Sleep mechanisms and importance of circadian rhythms
• Key clinical interview questions
• Why your clients need a sleep diary and how to implement it
• Practical screening questionnaires

• Differentiate sleep symptoms vs. mental health symptoms
• Prevalence of obstructive sleep apnea with co-occurring disorders
  • Anxiety
  • Depression
  • Additional other disorders
• Narcolepsy and its impact on mental health
• Correlation between nightmares and suicidality
• Sleep recommendations for PTSD
• Behaviorally Induced Insufficient Sleep Syndrome
• Insomnia increases risk of Alzheimer’s Disease
• Classes of sleep disorders and their associated mental health symptoms
  • Insomnia
  • Circadian rhythm sleep-wake disorders
  • Sleep movement disorders
  • Parasomnia
  • Hypersomnia
  • Sleep breathing disorders

• Medications can interfere with sleep
• Common side effects of hypnotics
• Melatonin – how to naturally increase & when to use a supplement
• Nutritional supplements and herbal medicine

• 5 domains of sleep deprivation
  • Cognitive performance – decreases simple memory, complex problem solving and verbal fluency
  • Physical performance – increases drowsy driving and auto accidents
  • Physical health – weakens the immune system and increases risks of serious health issues
  • Mental health – intensifies anxiety, impulsivity, and emotional liability
  • Emotional intelligence – impairs moral and ethical decision making
• Implement behaviour-modifying exercises

• Consequences of desynchrony with natural sleep cycle
• Treatment plans to protect shift workers from anxiety, depression, and other mental health disorders
• Manage mania associated with jetlag
• Mental health risk of night owls
• Strategies for clients who frequently travel
• How to regulate circadian physiology
  • Body clock
  • SCN in the brain
  • Cellular mechanisms
• Balance out melatonin rhythm

• ADHD, sleep disorder, or both?
• Obstructive Sleep Apnea often mistaken as other mental health symptoms in children
• Restless Legs Syndrome
• Sleep and naps are critical for development and growth
• Children’s sleep screening and recommendations
• Step-by-step guide for parents to help kids sleep better

• How to determine a teenage client’s natural circadian rhythm
• Dangers of sleep deprivation in adolescents
  • Increased negative risk taking
  • Correlation between lack of sleep and suicidality
  • Decreased academic achievement and decision making ability
  • Higher rates of juvenile delinquency
  • Driving drowsy and car accidents
• Tools for increasing teens’ sleep
• School start time – how to advocate for change

• Develop individualized healthy sleep plans for your clients – not a cookie cutter approach
• Get clients to “yes” in prioritizing optimal sleep
• Behavior-modifying exercises to help clients snap out of their sleep-depriving habits
• Address family and couple dynamics to allow everyone healthy sleep
• Tips and tricks for evening cell phone use to promote better sleep
• Techniques to reinforce long-term sleep health
• When to make a referral
  • What clients can expect from sleep disorder treatments

Target Audience

• Counsellors
• Social Workers
• Psychologists
• Psychotherapists
• Therapists
• Addiction Counsellors
• Marriage and Family Therapists
• Case Managers
• Nurses
• Physicians
• Psychiatrists
• Other Mental Health Professionals 

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