Talking Sleep Behavioral therapy for sleep disorders: CBT-I and beyond
Sep 27, 2024
Dr. Richard Blackburn, a sleep psychologist at Nystrom & Associates, is on a mission to boost access to behavioral therapies for sleep disorders. He discusses the challenges of training clinicians in CBT-I and the importance of telemedicine. They dive into practical strategies for billing and providing care across various health providers. Blackburn also outlines modifications for special populations like children and veterans. Plus, he explores innovative treatments like imagery rehearsal therapy for nightmares and discusses integrating behavioral strategies in sleep clinics.
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Leverage Telehealth And Automated Tools
- Use telehealth and digital platforms to expand reach and efficiency for CBT‑I delivery.
- Leverage remote platforms like COAST to review algorithmic plans and manage many patients in minutes weekly.
Use Bedtime Fading For Pediatric Insomnia
- For pediatric sleep problems use bedtime fading with response cost to rapidly build sleep pressure and shift sleep onset earlier.
- Adjust bedtime up or down by 30 minutes based on whether the child falls asleep within the check window.
Start With BBTI For Fast, Low‑Resource Care
- Use Brief Behavioral Treatment for Insomnia (BBTI) as a low‑burden entry point delivered by nurses, LPNs, or physicians.
- Offer four short sessions to get patients functional quickly and escalate to full CBT‑I if needed.