Category: Sleep / Wake Disorders
Keywords: Case Conceptualization / Formulation | Pain | Depression
Presentation Type: Institutes
Level of Familiarity: Basic to Moderate
Clinicians understand the importance of treating sleep problems in their clients but many struggle with how to integrate CBT for Insomnia (CBT-I) with other treatments. One solution is to use a case formulation approach. Pinpointing the cause of the insomnia and using a focused, empirically supported strategy can decrease the amount of time needed in a session. Moreover, there are many components of CBT-I that are complementary to other CBT protocols. For example, the increased time spent out of bed that results from CBT-I is highly compatible with the integration of (a) behavioral activation, (b) the increased, paced activity in pain protocols, and (c) cognitive behavioral strategies for fatigue. Providing clients with psychoeducation about the overlap between pro-alertness, pro-sleep, pro-mood, and pro-analgesic effects of optimally timed, manageable activity increases can be helpful across several comorbidities and increase treatment buy-in and motivation. Similarly, the focus on the avoidance of safety behaviors and threat monitoring is compatible with anxiety disorder protocols and these can be combined via case formulation. This institute will provide a review of the components of CBT-I presented via a case formulation approach and will also consider decision-making about sequencing and integration of treatments. The format for the presentation will be didactic instruction, experiential exercises, demonstrations, and clinical handouts from a leader in the field in case formulation and the cognitive behavioral treatment of comorbid insomnia.
Earn 7 continuing education credits
Recommended Reading: Craske, M. G., Lang, A. J., Aikins, D., & Mystkowski, J. L. (2006). Cognitive behavioral therapy for nocturnal panic. Behavior Therapy, 36(1), 43-54.
Martell, C. R., Dimidjian, S., & Herman-Dunn, R. (2013). Behavioral activation for depression: A clinician's guide. New York: Guilford.
Pigeon, W. R., Moynihan, J., Matteson-Rusby, S., Jungquist, C. R., Xia, Y., Tu, X., & Perlis, M. L. (2012). Comparative effectiveness of CBT interventions for co-morbid chronic pain & insomnia: A pilot study. Behaviour Research and Therapy, 50(11), 685-689.
Manber, R., Edinger, J. D., Gress, J. L., San Pedro-Salcedo, M. G., Kuo, T. F., & Kalista, T. (2008). Cognitive behavioral therapy for insomnia enhances depression outcome in patients with comorbid major depressive disor-der and insomnia. Sleep, 31(4), 489-495.
Manber, R., & Carney, C.E. (2015). Treatment plans and interventions: Insomnia. A case formulation approach. [Part of the "Treatment Planner" Series; Robert L. Leahy, Ed.]. New York: Guilford.
Director of the Sleep and Depression Laboratory
Thursday, November 16
8:30 AM – 5:00 PM
Saturday, November 18
10:15 AM – 11:45 AM
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