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Managing Sleep Problems in People with Anxiety, Depression, Trauma, or Pain

10.75 CE Hours Available

All orders include the entire presentation with handouts and a CE test.
Streaming videos and audio downloads will be available immediately after checkout
Mailed CD and DVD formats include the printed handouts and CE test in an attractive portfolio

Format Price Quantity input field
Audio Download
Offer Price$144.00
CD Audio w/ Audio Download
Offer Price$162.00
DVD Video w/ Streaming Video
Offer Price$162.00
Streaming Video
Offer Price$144.00


In this program, Dr. Carney provides easy-to-implement Cognitive Behavior Therapy (CBT) strategies for insomnia and nightmares,especially with those who have co-occurring trauma, anxiety, pain and depression.

The program presents information about sleep regulation, core cognitive & behavioral strategies and adaptations for particularly complex cases.

There will be in-vivo exercises and role play opportunities for workshop participants to practice their new skills at the workshop so that they can implement the strategies into their practice.



Participants will be able to describe:

  • How to assess for insomnia, as well as conditions that may be contraindicated for insomnia CBT
  • How sleep is regulated
  • How to calculate a time-in-bed prescription
  • How to collaborate with clients on a sleep schedule
  • The rationale for Stimulus Control
  • Ways to increase client adherence to instructions
  • Cognitive strategies for excessive mentation
  • Treatments that address sleep-interfering cognitions
  • Ways to adapt treatment components
  • How to incorporate CBT for insomnia into ongoing co-occurring treatments



  • What is insomnia? Practice implications of DSM5 - Tips for detecting sleep disorders other than insomnia - Sleep Diaries

Understand how sleep is regulated

  • How body makes up for lost sleep - Body clock - How trauma, pain, depression and anxiety affect sleep

Step-by-Step CBT-I: Core Elements

  • How to present Stimulus Control - Mistakes when setting a time-in-bed prescription - Differences between night owls and early birds - The myth of sleep hygiene

Cognitive Therapy and Counter Arousal

  • Beliefs about sleep effort: The primary target of change in CBT - Using Cognitive Therapy to increase adherence: Behavioral experiments - Surviving the post-lunch dip: Changing fatigue-related cognitions - Addressing worry and rumination

Final Competencies

  • Session-by-session guide - Fostering acceptance -Mindfulness Based Therapy for Insomnia - Fostering sleep self-efficacy to address relapse

Understanding Comorbidity

  • Pain, anxiety, depression and trauma - Must other conditions be resolved before targeting sleep?


  • Combining behavioral activation with insomnia CBT - Troubleshooting barriers related to anhedonia - Engaging hopelessness - Rumination strategies

Anxiety and Trauma

  • Special considerations for Panic Disorder and OCD - High arousal versus high sleep anxiety - Addressing sleep avoidance and fears in PTSD - Nightmare approaches - Treating anxiety related to using Positive Airway Pressure (PAP) devices for sleep apnea

Medical issues

  • Chronic pain, fatigue and sleep: How each treatment exerts positive influences on all three conditions - Hormones, menopause, pregnancy, menstruation - Medication issues