Description: This half-day workshop builds on the foundation of sleep education provided in the two-day Cognitive Behavioral Therapy for Insomnia (CBT-I) workshop. Detailed instruction on circadian rhythm physiology provides an understanding of contributors to both normative patterns and development of disorders. We then explore assessment specific to circadian rhythm disorders and introduce clinical interventions for the two most common in Service members: Delayed Sleep Wake Phase Disorder and Shift Work Disorder. Step-by-step guidance illustrated by examples underscore recommended techniques.
Learning Objectives:
- Breakdown the elements of behavioral, environmental, and physiological circadian rhythms.
- Evaluate whether patients meet diagnostic criteria for Circadian Rhythm Sleep-Wake Disorder subtypes.
- Perform an assessment of sleep behavior that utilizes recommended circadian rhythm measures.
- Plan a course of treatment for Delayed Sleep-Wake Phase Disorder incorporating Dim Light Melatonin Onset (DLMO) and minimum core body temperature.
- Contrast strategies for managing rapidly rotating shift work with strategies to address fixed or long term rotating shift work.