Getting Started with Cognitive Behavioral Therapy for Insomnia

Getting Started with CBTI

Saturday and Sunday, May 4-5, 2024

The University of Arizona Sleep and Health Research Program will host a workshop entitled Getting Started with Cognitive Behavioral THerapy for Insomnia (CBTI) on Saturday and Sunday, May 4-5, 2024.

Learning Objectives

This workshop will provide information necessary for incorporating CBTI into your clinical practice.

The following learning needs will be addressed:

Better understanding of the basics of sleep and circadian science, as they can be applied to insomnia patients and their treatment
Better understanding of the etiology, pathophysiology, and models of insomnia, its development, its progression, and its treatment
Better understanding of the signs and symptoms of sleep disorders to aid in the differential diagnosis of insomnia
Better understanding of the rationale and concepts underlying CBTI
Better understanding of the core techniqyes of CBT, including stimulus control and sleep restriction
Better understanding of the additional components of CBTI, including relaxation, sleep hygiene, and cognitive therapy

Outcome Objectives: Following this activity attendees will be able to:

Diagnose Indomnia Disorder correctly
Apply behavioral and cognitive principles to the treatment of insomnia disorder
Treat patients with Cognitive Behavioral Therapy for Insomnia

Presenters

Dr. Michael Grandner is the Director of the Sleep and Health Research Program at the University of Arizona, Director of the Behavioral Sleep Medicine Clinic at the Banner-University Medical Center, Associate Professor in the Departments of Psychiatry and Medicine in the College of Medicine, Associate Professor of Psychology in the College of Science, Associate Professor of Nutritional Sciences in the College of Agricultural and Life Sciences, and Associate Professor of Clinical Translational Science. He is a licensed Psychologist and Certified in Behavioral Sleep Medicine by the American Board of Sleep Medicine and a diplomate in Behavioral Sleep Medicine by the Board of Behavioral Sleep Medicine. He directs the Behavioral Sleep Medicine Clinic. He is a member of the Sarver Heart Center, the Hispanic Center of Excellence, and a faculty member of the Graduate Inter-Disciplinary Programs in Neuroscience and Physiological Sciences. Dr. Grandner is a recognized expert in Cognitive Behaviroal Therapy for Insomnia (CBTI), having trained many students in its practice across a wide range of disciplines. He is the program director for the SBSM-accredited training program in Behavioral Sleep Medicine at the University of Arizona and supervises a graduate student externship, psychology internship rotation, BSM fellowship rotation, sleep medicine fellowship rotation, psychiatry residency rotation, and other training opportunities. More information may be found at https://www.michaelgrandner.com.

Perlis Dr. Michael L. Perlis is the Director of the Behavioral Sleep Medicine Program at the University of Pennsylvania, where he is also an Associate Professor of Psychiatry and Nursing. Dr. Perlis' educational efforts include the conduct of two annual CBT-I training workshops (the basic workshop has been offered since 2005 and the advanced workshop was first offered in 2014; these courses are usually conducted in collaboration with Donn Posner PhD ); three to six BSM Mini-Fellowships per year; a CBT-I practica clinic; ongoing clinical research supervision and mentorship; several on-line / DVD trainings (and related materials via the CBT-I course “gift basket”); and individual and group supervision through his program at Penn. Note: The Basic CBT-I workshop has also been provided on request, in England, Sweden, South Africa, Israel, Korea, Japan, Thailand, and Qatar. Dr. Perlis’ educational activities also include his service as a mentor to over 95 trainees including 24 junior or peer faculty, 18 interns or post-doctoral fellows, 6 medical students, 12 graduate or post-masters students, and 35 undergraduates or post-baccalaureates. Dr. Perlis is internationally known for his work in the area of Behavioral Sleep Medicine (BSM). He is a coauthor of the first text book in this field; the senior author of a published CBT-I treatment manual; and is a co-editor of a larger text summarizing all BSM treatments. The CBT-I manual has been translated into Spanish, Italian, Korean, and Chinese. He has published, as an author or co-author, more than 185 articles on sleep research related topics. Finally, Dr. Perlis was one of the five organizing and founding members of the Society of Behavioral Sleep Medicine (SBSM). He also served as the SBSM’s first president (2010-2011). In 2018, Dr. Perlis received the Peter Hauri Career Distinguished Achievement Award. In 2019, he was nominated for the Mary A. Carskadon Outstanding Educator Award from the SRS. In 2022, he received the Champion of BSM award from the SBSM and was inducted as a fellow of the SBSM this same year. In 2023, he received the Samual T. Kuna Research Award from the Sleep Medicine division of the University of Pennsylvania. Dr. Perlis’s work has been, and continues to be (Gods willing), funded by the National Institutes of Health. His grant portfolio (past and present) as a Principal investigator is comprised of 7 R01s, 4 R21s, 1 R56, 2 K24s, and 1 R03. In addition he has held four Pharma PI initiated grants, several foundation awards, and participated as a site investigator on five industry initiated pharma studies. More information may be found at https://www.michaelperlis.com.

Dr. Donn PosnerDr. Donn Posner is the Founder and President of Sleepwell Consultants and has been consulting to organizations and individuals on a wide variety of sleep health issues including insomnia, circadian dysrhythmia, CPAP adherence, and parasomnias. He continues to operate a small clinical practice in Behavioral Sleep Medicine and is a licensed psychologist in California, Massachusetts, New Hampshire, Pennsylvania, and Rhode Island. He is also currently an Adjunct Clinical Associate Professor in the Department of Psychiatry and Behavioral Sciences at the Stanford University School of Medicine and a consulting psychologist, for the Palo Alto VA. He is working on a number of grants exploring the effects of CBT-I in Gulf War Veterans and Veterans with insomnia and Mild Traumatic Brain Injury. He is also working on an R21 aimed at using CBT-I techniques to decrease fatigue in breast cancer survivors by increasing total sleep time. Prior to his roles at Stanford and the VA , he spent 25 years serving as the Director of Behavioral Sleep Medicine for the Sleep Disorders Center of Lifespan Hospitals, and was a Clinical Associate Professor in the Department of Psychiatry and Human Behavior at the Warren Alpert School of Medicine at Brown University. For 20 of those years Dr. Posner had served as the primary supervisor for a rotation of the Behavioral Medicine track of the clinical psychology internship at Brown. The rotation focused on the assessment and treatment of Sleep and Anxiety Disorders, and was one of the few rotations of its kind in the US. Dr. Posner is one of the authors of Cognitive Behavioral Treatment of Insomnia: A Session- by-Session Guide (New York: Springer/Verlag). The book is intended for clinical trainees, and non-insomnia sleep specialists, as well as more experienced clinicians from outside the sleep medicine field, who wish to learn how to provide empirically validated cognitive behavioral treatment for insomnia (CBT-I). Dr. Posner is a member of the American Academy of Sleep Medicine and is one of the first Certified Behavioral Sleep Medicine specialists recognized by that group. He is also a founding member of the Society of Behavioral Sleep Medicine and he has also now achieved the status of Diplomate with the BBSM which is the highest level of qualification and competency they bestow.

Dr. Leisha Cuddihy is a licensed clinical psychologist, board certified in Behavioral Sleep Medicine. She completed her doctoral training in clinical psychology at the University of Arizona, with a pre-doctoral internship in Behavioral Medicine at Brown University and a post-doctoral fellowship in Behavioral Sleep Medicine at the University of Michigan. She is an Assistant Professor of Psychiatry embedded in the Comprehensive Sleep Center at the University of Rochester, where she practices BSM full-time. She is and active member of the Society of Behavioral Sleep Medicine, and has served as the chair of the Web and Communications committee, as a member of the Clinical Practice committee, and currently serves on the Board of Directors as Director at Large. She was recently awarded the SBSM Outstanding Leader in Altruistic Delivery of BSM Award.

Location (UPDATED)

In-Person Location:
Both days of the course will be held in Room 103 of the Thomas W. Keating Bioresearch Building on the medical school campus at the University of Arizona. The address is 1657 East Helen Street, Tucson, AZ.

If you are walking from the hotel, located on the southeast corner of Campbell and Speedway, cross both Speedway and Campbell so that you are on the NORTHWEST corner. Walk north to Helen Street and turn LEFT. The walk is about 0.3 miles. (Walking directions: https://goo.gl/maps/uZ87DxXXdQ8vqpQp7).

If you are parking, you can use lot 2030, which is very close to the Keating building (location: https://goo.gl/maps/eQtH5ELQW8VMxskL9). Parking is free on the weekend.

Online Location:
Participants joining online will have access to the ZOOM link, starting around 8:30 AM on both days. The ZOOM link will remain open all day, until dinner. Only in-person attendees will attend the dinner sessions.

Agenda (UPDATED)

Activities in RED will be for in-person attendees only and are accounted for in the additional cost for in-person attendance.

Start Time	End Time	Activity
Day 1 (Saturday)
8:00 AM	8:30 AM	Breakfast and Networking (Breakfast Provided)
8:30 AM	8:40 AM	Welcome and Introduction
8:40 AM	9:00 AM	The Value of Learning CBTI
9:00 AM	9:35 AM	Understanding the Basics of Sleep: Crash Course
9:35 AM	10:05 AM	Signs and Symptoms of Sleep Disorders
10:05 AM	10:15 AM	BREAK
10:15 AM	10:45 AM	The Definition of Insomnia
10:45 AM	11:45 AM	Models of Insomnia
11:45 AM	11:55 AM	BREAK
11:55 AM	1:10 PM	Lunch Discussion: Understanding Insomnia (Lunch Provided)
1:10 PM	1:20 PM	BREAK
1:20 PM	1:50 PM	What CBTI Is Not: Sleep Hygiene
1:50 PM	2:20 PM	Medications for Treating Insomnia
2:20 PM	2:40 PM	CBTI Logistics: Schedule, Timing, Instuments, and Rules
2:40 PM	2:50 PM	BREAK
2:50 PM	3:50 PM	CBTI Core Components: Sleep Restriction Therapy
3:50 PM	4:50 PM	CBTI Core Components: Stimulus Control Therapy
4:50 PM	5:20 PM	CBTI Core Components: Cognitive Therapy
5:20 PM	5:30 PM	BREAK (Conclusion of Day 1 for Online Access)
5:30 PM	8:30 PM	Dinner Discussion: CBTI Therapy Components
8:30 PM		Conclude Day 1
Day 2 (Sunday)
8:00 AM	8:30 AM	Breakfast and Networking (Breakfast Provided)
8:30 AM	8:40 AM	Overview of Day 2
8:40 AM	9:10 AM	Initial Evaluation and Assessment
9:10 AM	9:30 AM	Orientation to Treatment
9:30 AM	10:30 AM	Introduction to Sleep Diaries and Implementation
10:30 AM	10:40 AM	BREAK
10:40 AM	11:55 AM	Implementation of Sleep Restriction Therapy
11:55 AM	1:10 PM	Implementation of Stimulus Control Therapy
1:10 PM	1:20 PM	BREAK
1:20 PM	2:20 PM	Lunch Discussion: Sleep Restriction and Stimulus Control (Lunch Provided)
2:20 PM	2:40 PM	BREAK
2:40 PM	3:10 PM	Reducing Sleep Effort: Relaxation and Mindfulness
3:10 PM	4:50 PM	Implementng CBTI in the Real World
4:50 PM	5:00 PM	BREAK
5:00 PM	5:30 PM	Addressing Advanced Topics: Wearables, Pediatrics, etc. (Conclusion of Day 2 for Online Access)
5:30 PM	8:30 PM	Dinner Discussion: Complex Cases (Dinner Provided)
8:30 PM		Conclude Day 2

Continuing Education Credits

The University of Arizona College of Medicine - Tucson is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Arizona College of Medicine - Tucson designates this live activity for a maximum of 22 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Prices and Fees

Registration fees are intended to defray the costs of putting on this event, including time, facilities, and (for in-person attendees) food. Those who register will receive:

An electronic ticket to the event, for online or in-person attendance
A certificate for all continuing education credits accrued based on attendance (pending approval)
Access to an online library of resources, including manuals, procedures, chapters, guidelines, articles, etc.
Access to an online recording of the workshop for up to 1 year

In addition, in-person attendees will receive:

Breakfast, lunch, and dinner provided
Live networking sessions
Access to two 3-hour evening case discussions

In-Person Attendance (2 Days):

Regular: $799
Psychologists: $649
Therapists / Social Workers: $549
Students / Trainees: $399
Add-Ons:
- Recording Access: $149
- Course Book: $75

Online Attendance (2 Days):

Regular: $599
Psychologists: $499
Therapists / Social Workers: $399
Students / Trainees: $299
Add-Ons:
- Recording Access: $149
- Course Book: $75

Recording Only (1-Year Access):

Single-User: $499
5 Users: $1.999
10 Users: $3,499
Unlimited Users: $9,999

Cancellations and Refunds:

The portion of the ticket cost that goes toward processing fees is not refundable (7% of the ticket price). The remainer of the ticket price is fully refundable until 48 hours before the event. Any cancellations within 48 hours of the event are non-refundable. Hopefully this allows some flexibility during times of uncertainty, while also allowing us to honor reservations and commitments.

Travel

U of A Campus The event will take place on campus at the University of Arizona College of Medicine. More details about the meeting space are forthcoming.

Hotel: The Marriott Aloft Tucson University, located adjascent to campus at the University of Arizona, is walking distance from the event. Special room rates are in the process of being negotiated. A special room rate has been negotiated for this event. Please use this link to reserve your room.

Visiting Tucson: April is an excellent time to visit Tucson! Typical daily temperatures peak at around 80 degrees during the day and get down to about 50 degrees at night. While you're in town check out some of the great things that make Tucson unique!

Airport: Participants may wish to fly into the Tucson International Airport (which is about 20 minutes from campus). Some may instead opt to fly into the Phoenix Sky Harbor Airport (which is about 2 hours away, many shuttle services exist).

Disclosure: The University of Arizona College of Medicine - Tucson adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers or others are required to disclose all financial relationships with ineligible companies (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity. Dr. Grandner has disclosed: consultant for Idorsia, Eisai (relationship has ended) and Smartypants Vitamins; advisor for Natrol, Fitbit, Pharmavite, and Sleep Reset. Dr. Perlis has disclosed: advisor for Anavex, Nexalin, Play Power Labs, Avecho (relationship has ended); grant/research support from Jazz Pharmaceuticals. Dr. Posner has disclosed: Advisor for NeuroUX; consultant for Y-Brain and BrainTrain. All other individuals in a position to control the content of this CME activity have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this CME activity.