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Integrative Approaches to Treating Insomnia
San Francisco Psychological Association is Co-Sponsoring with CPA
Integrative Approaches to Treating Insomnia
Presented by Juliet Morgan, MD and Sir Norman Melancon, MD, 2 CE Credits
July 30, 2022, 9:00 AM – 11:00 AM Via Live Webinar
Abstract
This course provides an overview of sleep physiology and the diagnosis and treatment of insomnia. We will review the way that sleep is controlled and regulated. We will describe the diagnosis of insomnia and explain potential alternate diagnoses and medical mimics. The session will review evidence-based recommendations for the treatment of insomnia using a multimodal approach.
Course Goals and Educational Objectives
Attendees will be able to: 1) list the basics of sleep physiology and three drivers of sleep 2) analyze four different potential alternate diagnoses underlying sleep complaints 3) identify three treatment options through a multimodal approach
Course Outline
- Opening by representative (5 minutes)
- What is sleep? (20 minutes)
- Stages and cycles
- Physiology of good sleep and poor sleep
- Control of sleep
- Sleepy vs tired
- Insomnia (20 minutes)
- Diagnosis
- Ruling out other diagnoses
- Treating Insomnia (30 minutes)
- Diagnose, Adjust, Track, Relax
- CBTi
- Medications for sleep
- Evidence-based tools
- Sleep hygiene
- Case Vignettes (30 mins)
- Questions and Answers (15 mins)
Dr. Juliet Morgan, MD
Dr. Morgan is an integrative psychiatrist and neuropsychiatrist working with a variety of clients at CalPsychiatry via telemedicine and in her San Francisco office. She specializes in the integrative treatment of clients with mood and anxiety disorders, ADHD, neuropsychiatric illness, and healing from trauma. Dr. Morgan began her career as a neurologist and understands the complex interplay between the structural “hardware” and emotional “software” in the brain. Dr. Morgan has been featured in several media outlets including KQED and CBS for her work with clients with Long-Covid.
Dr. Morgan takes an evidence-based integrative approach to personalized medical care. She provides both pharmacologic and non-pharmacologic treatments and draws upon many forms of healing to tailor a treatment plan to a client’s unique needs.
During training as both a neurologist and psychiatrist at UCSF, Dr. Morgan pursued additional training in psychedelic-assisted psychotherapy, addiction psychiatry, psychodynamic psychotherapy, Acceptance and Commitment Therapy, advanced nutrition, and sleep medicine. She teaches extensively on neuropsychiatry and neuroanatomy at UCSF.
Dr. Sir Norman Melancon, MD Dr. Melancon is a general adult psychiatrist with a diverse range of expertise. He has a special interest in serving marginalized populations and has a special focus on treating race and gender-based trauma, bipolar disorder, depression, anxiety/OCD, and ADD/ADHD.
With a personal background in healing arts such as meditation and yoga, Dr. Melancon brings a sense of grounded warmth and calm to his practice. His focus is on enabling his patients to take the lead in their treatment plan and to have a focus on wellness and growth.
References
- Walsh JK. Enhancement of slow wave sleep: implications for insomnia. J Clin Sleep Med. 2009 Apr 15;5(2 Suppl):S27-32. PMID: 19998872; PMCID: PMC2824211.
- Park I, Díaz J, Matsumoto S, Iwayama K, Nabekura Y, Ogata H, Kayaba M, Aoyagi A, Yajima K, Satoh M, Tokuyama K, Vogt KE. Exercise improves the quality of slow-wave sleep by increasing slow-wave stability. Sci Rep. 2021 Feb 24;11(1):4410. doi: 10.1038/s41598-021-83817-6. PMID: 33627708; PMCID: PMC7904822
- Altena E, Micoulaud-Franchi JA, Geoffroy PA, Sanz-Arigita E, Bioulac S, Philip P. The bidirectional relation between emotional reactivity and sleep: From disruption to recovery. Behav Neurosci. 2016 Jun;130(3):336-50. doi: 10.1037/bne0000128. Epub 2016 Feb 11. PMID: 26866361.
- Zare Khormizi H, Salehinejad MA, Nitsche MA, Nejati V. Sleep-deprivation and autobiographical memory: evidence from sleep-deprived nurses. J Sleep Res. 2019 Feb;28(1):e12683. doi: 10.1111/jsr.12683. Epub 2018 Apr 6. PMID: 29624749.
- Van der Helm E, Gujar N, Walker MP. Sleep deprivation impairs the accurate recognition of human emotions. Sleep. 2010 Mar;33(3):335-42. doi: 10.1093/sleep/33.3.335. PMID: 20337191; PMCID: PMC2831427.
- Mullington JM, Simpson NS, Meier-Ewert HK, Haack M. Sleep loss and inflammation. Best Pract Res Clin Endocrinol Metab. 2010 Oct;24(5):775-84. doi: 10.1016/j.beem.2010.08.014. PMID: 21112025; PMCID: PMC3548567.
- Prather AA, Janicki-Deverts D, Hall MH, Cohen S. Behaviorally Assessed Sleep and Susceptibility to the Common Cold. Sleep. 2015 Sep 1;38(9):1353-9. d
CPA is co-sponsoring with SFPA. The California Psychological Association is approved by the American Psychological Association to sponsor continuing education for psychologists. CPA maintains responsibility for this program and its contents. Important Notice: Those who attend the workshop and complete the CPA evaluation form will receive 2 continuing education credits. Please note that APA CE rules require that we give credit only to those who attend the entire workshop. Those arriving more than 15 minutes after the start time or leaving before the workshop is completed will not receive CE credits.