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Getting Started with CBTI

Getting Started with Cognitive Behavioral Therapy for Insomnia

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.

Jump to: Objectives | Presenters | Agenda | CE Credits | Fees | Travel

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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

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

GrandnerDr. Michael Grandner is the Director of the Sleep and Health Research Program at the University of Arizona, 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.

PerlisDr. 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.

PosnerDr. 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.

CuddihyDr. 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.

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Agenda

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 (Provided)
8:30 AM 9:15 AM

The Value of Learning CBTI

  • Introduce the concept of CBTI
  • Review the rationale for cognitive and behavioral treatment of insomnia
  • Review of the treatment guidelines for insomnia that include CBTI and similar approaches as first-line therapies
9:15 AM 10:15 AM

The Basics of Sleep

  • Review the basic concepts of sleep physiology and behavior
  • Review the basics of sleep architecture (sleep stages) and sleep continuity
  • Review the basics of circadian rhythms and applications to sleep
10:15 AM 10:30 AM

BREAK

10:30 AM 11:45 AM

Signs and Symptoms of Sleep Disorders

  • Review the diagnostic criteria for sleep disorders
  • Review practices for screening for sleep disorders in practice
  • Review strategies for managing sleep disorders in clinical practice
11:45 AM 12:45 PM

Definitions of Insomnia and Conceptualizations of Insomnia

  • Review various models for defining insomnia and its symptoms
  • Review models for the etiology and pathophysiology of insomnia
  • Review strategies for conceptualizing how insomnia develops progresses, and ameliorates in the context of insomnia models
12:45 PM 1:00 PM BREAK
1:00 PM 2:30 PM

Insomnia, Sleep, and Sleep Disorders (Panel Discussion) (Lunch Provided)

  • Discuss questions about how insomnia is experienced by patients and how these experiences relate to models of insomnia
  • Discuss issues related to sleep-wake physiology and how these relate to insomnia symptoms
  • Discuss issues related to sleep disorders and how these relate to the differential diagnosis of insomnia patients
2:30 PM 3:30 PM

Why Treat Insomnia?

  • Understand the degree to which insomnia is associated with other adverse outcomes, including comorbidities
  • Understand the role of insomnia as amental health risk factor
  • Understand the role of insomnia as a medical risk factor
  • Understand the role of insomnia in the context of behavioral and social problems
3:30 PM 3:45 PM

BREAK

3:45 PM 4:45 PM

Medications for Treating Insomnia

  • Review the classes of medications used to treat insomnia
  • Review the data on efficacy and effectiveness of insomnia pharmacotherapy
  • Review the treatment guidelines regarding insomnia pharmacotherapy
  • Discuss the role of pharmacotherapy alongside nonpharmacological treatments
4:45 PM 5:30 PM

The Spielman Model and Application to Insomnia

  • Review the 3-P and 4-P models of insomnia
  • Review the role of predisposing factors related to insomnia
  • Review the role of precipitating factors related to insomnia
  • Review the role of perpetuating factors related to insomnia
5:30 PM 5:45 PM BREAK
5:45 PM 6:30 PM

Applying Behavioral Principles to Insomnia

  • Review the fundamentals of classical and operant conditioning
  • Review the proposed mechanisms linking behavioral principles with the development and experience of insomnia
  • Review the strategies for applying conditioning and learning principles to insomnia
6:30 PM 9:30 PM

Insomnia Etiology and Pathophysiology (Panel Discussion) (Dinner Provided)

  • Discuss complex ssues related to the development of insomnia
  • Discuss strategies for applying behavioral strategies towards managing insomnia symptoms
  • Discuss issues related to the management and treatment of insomnia in real-world patients
9:30 PM 9:30 PM

Conclusion of Day 1

DAY 2 (Sunday)
8:00 AM 8:30 AM Breakfast (Provided)
8:30 AM 9:30 AM

Overview and Rationale for CBTI (Session-by-Session Roadmap)

  • Review the rationale for providing CBTI as it applies to etiology and pathophysiology
  • Review the session-by-session roadmap for CBTI
  • Review the core components and optional components of CBTI
9:30 AM 10:15 AM

Initial Evaluations and Orientation to Treatment

  • Review strategies for initial assessments of insomnia patients
  • Review strategies for orienting patients to treatment with CBTI
  • Review strategies for assisting patients with understanding the therapeutic process and their role
10:15 AM 10:45 AM

Using and Orienting Patients to Sleep Diaries

  • Review the use of sleep diaries in CBTI
  • Review the procedures for collecting and analyzing data from sleep diaries
  • Review strategies for increasing adherence with sleep diaries in clinical settings
10:45 AM 11:00 AM BREAK
11:00 AM 12:30 PM

Overview of Sleep Restriction Therapy

  • Review the scientific rationale for sleep restriction therapy for insomnia
  • Review the strategies for implementing sleep restriction therapy for insomnia
  • Review strategies for optimizing adherence with sleep restriction therapy for insomnia
12:30 PM 1:45 PM

Overview of Stimulus Control Therapy

  • Review the scientific rationale for stimulus control therapy for insomnia
  • Review the strategies for implementing stimulus control therapy for insomnia
  • Review strategies for optimizing adherence with stimulus control therapy for insomnia

 

1:45 PM 2:00 PM BREAK
2:00 PM 3:30 PM

Implementing Sleep Restriction and Stimulus Control Therapies (Panel Discussion) (Lunch Provided)

  • Discuss real-world challenges implementing sleep restriction and stimulus control therapies
  • Discuss data regarding efficacy and effectiveness of sleep restriction and stimulus control therapies
  • Address questions regarding engaging patients with sleep restriction and stimulus control therapies
3:30 PM 4:30 PM

Cognitive Therapy Techniques in CBTI

  • Review strategies for integrating cognitive therapy techniques in CBTI
  • Review cognitive strategies including thought stpping, cognitive restructuring, and others
  • Review strategies for implementing cognitive therapy techniques in CBTI
  • Review scientific support for cognitive therapy techniques in CBTI
4:30 PM 4:45 PM BREAK
4:45 PM 5:30 PM

The Role of Sleep Hygiene and Relaxation in CBTI

  • Review the principles of sleep hygiene
  • Review strategies for integrating sleep hygiene in CBTI
  • Review the scientific rationale for relaxation therapies in CBTI
  • Review common relaxation therapy techniques
  • Review strategies for implementing relaxation techniques in CBTI
5:30 PM 6:30 PM

Relapse Prevention and Troubleshooting

  • Review strategies for successfully terminating therapy with CBTI
  • Review strategies for maintaining improvements obtained with CBTI past the end of therapy
  • Review strategies for relapse prevention
  • Revew strategies for troubleshooting common problems with CBTI
6:30 PM 9:30 PM

Managing Difficult Insomnia Cases (Panel Discussion) (Dinner Provided)

  • Discuss common problems that arise in the diagnosis and differential diagnosis of insomnia patients
  • Discuss common problems that arise when orienting patients to therapy and initiating treatment
  • Discuss common problems in implementing CBTI techniques
  • Discuss common problems in optimizing adherence to CBTI techniques
9:30 PM 9:30 PM Conclusion of Day 2

Continuing Education Credits

Applications for continuing education credits are pending. It is anticipated that this even will offer up to about 24 hours of continuing education credits. All individuals registered for the event will be retroactively eligible to receive credits.

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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.

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Travel

U of A CampusThe 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).

 

 

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