Donn Posner – Coronavirus Related Insomnia: Strategies to Overcome Sleep Dysregulation Triggered by Schedule Disruptions and Social Distancing

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Donn Posner, Professor
1 hour and 1 minute in length
Audio and video formats are available.
Date: April 3, 2020
Description

The new coronavirus’s unprecedented disruption of every part of our life constitutes a big stressor that can take a toll both physically and emotionally. Sleep deprivation will be no exception. This can happen as a result of heightened stress and worry, but it can also happen as a result of big changes in our schedules and general patterns. Work schedules, bedtime rituals, activity level, and maybe even light exposure can all disrupt regular sleep regulation. This will have an effect on our energy, focus, mood, and capacity to cope.

Perhaps more alarming is that the coronavirus, and our efforts to combat it (social isolation, working from home, homeschooling children, etc.), will most certainly continue for some time. According to the research on Behavioral Sleep Medicine, when acute insomnia is perpetuated by continuing circumstances, a shift occurs in which the individual learns to focus, in part, on the sleeplessness itself as a danger. This, in turn, causes behavioral and cognitive changes that further disrupt sleep and can progress to a chronic form of insomnia that requires specific therapy to alleviate. This Insomnia Disorder is widely acknowledged as the most frequent of all sleep difficulties, as well as the most common complaint in primary care settings. If left untreated, the consequences and morbidity associated with chronic insomnia can be significant across several domains, including increased health care utilization, impaired quality of life, an increased risk of medical and psychiatric disorders, and ultimately worse outcomes for all co-morbid disorders. So, while we will eventually recover from this epidemic, Insomnia Disorder may persist long after the rest of life has returned to normal.

This audio is intended to give doctors with a knowledge of the elements that lead insomnia to go from a normal stress response to a chronic disorder that negatively effects every part of your patients’ life. In addition, we will go over some basic measures that your patients may do right away to avoid developing a persistent sleep problem in the future.

Outline

Definitions of Insomnia

Definition of Insomnia
Acute Insomnia vs. Insomnia Disorder
Insomnia Disorder’s psychosocial and clinical correlations
Insomnia Behavioral Model
Sleep Control: Arousal system, Circadian system, and Sleep Homeostasis
Sleep Regulation Interfering Factors

Insomnia Behavioral Model

Insomnia progresses from acute to chronic
Define the variables that are predisposing, triggering, and perpetuating.
Borbely’s Two-Process Sleep Regulation Model
Coronavirus as a causative agent
How quarantine and social isolation may disrupt sleep

Aiming for acute insomnia in order to avoid long-term sleep disruption

Implications for drug therapy
Sleep hygiene in general
Preventive sleep hygiene
When and where to get therapy for Insomnia Disorder Faculty

 

Donn Posner, Ph.D., DBSM Related seminars and products: 4

Donn Posner, Ph.D., a Diplomate in Behavioral Sleep Medicine (DBSM), works for the Palo Alto VA as a clinical/research psychologist.

Prior to joining the VA, he was a clinical associate professor at Brown Medical School for 25 years. He was the director of clinical behavioral medicine at Rhode Island and Miriam hospitals, as well as the director of behavioral sleep medicine for Lifespan Hospitals’ Sleep Disorders Center. Dr. Posner was the principal supervisor for a rotation of the behavioral medicine track of the clinical psychology internship at Brown for 20 of those years. He also coached postdoctoral fellows and taught interns, fellows, and residents in internal medicine and psychiatry on behavioral sleep medicine and anxiety disorders. In addition, he served as a consultant for the Veteran’s Administration’s adoption of CBT-I and taught VA physicians around the country in its use.

Dr. Posner is a co-author of Cognitive Behavioral Treatment of Insomnia: A Session-by-Session Guide (Springer/Verlag, New York). The book is aimed for clinical trainees and non-insomnia sleep specialists, as well as more experienced clinicians from other fields who want to learn how to deliver scientifically supported cognitive behavioral treatment for insomnia (CBT-I).

Dr. Posner is a member of the American Academy of Sleep Medicine and was one of the organization’s first certified behavioral sleep medicine experts. He is also a founding member of the Society of Behavioral Sleep Medicine and has acquired the title of Diplomate with the SBSM, the organization’s highest degree of qualification and proficiency.

Disclosures for Speakers:

Donn Posner is an adjunct clinical associate professor at Stanford University School of Medicine. He works with the Palo Alto Veterans Institute for Research as a clinical researcher. PESI, Inc. pays Dr. Posner a speaking fee.

Donn Posner is a member of the American Psychological Association, the Association for Behavioral and Cognitive Therapies, and the American Academy of Sleep Medicine, among other organizations.

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