Rubin Naiman – Insomnia: Integrative Sleep Therapy

Description of Insomnia: Integrative Sleep Therapy

• Evidence-based strategies for healing insomnia
• Importance of sleep in anxiety, depression and PTSD
• Revolutionary model of sleep and dreams that integrates science and spirituality
• Transformative power of dreams and dreamwork for psychotherapy

Years ago, during my study of PTSD I became curious about my parents’ sleep and dreams. As holocaust survivors who had been severely traumatized, one would have expected their nights to be disrupted by grief, anxiety and nightmares. But my parents slept well. In fact, they slept exceptionally well without medication throughout their entire lives.

My parents’ experience taught me that sleep loss was not an inevitable consequence of stress or even trauma. And, as importantly, that sleep could confer protection against the greatest challenges life might bring. I learned that sleep wasn’t simply the reward of a healthy lifestyle —it was its foundation. My parents simply loved sleep. And, they taught me to do the same.

Restoring healthy sleep is a CLINICAL ISSUE for most of our clients.

Although therapists routinely encounter sleeplessness in their practice, few are adequately prepared to address it. Failure to do so can impede the treatment of mood disorders, trauma, addictions, and even relationship issues.

Restoring healthy sleep is a PERSONAL ISSUE for many psychotherapists.

I believe the unique challenges of psychotherapy place us at greater risk for sleeplessness, which that can compromise the quality of both our work and our lives.

Integrative Sleep Therapy has evolved from my personal as well as extensive clinical experience with thousands of patients over the past three decades. It is a comprehensive, multicomponent approach that integrates:

• evidence-based cognitive, behavioral and environmental strategies
• complementary and alternative health interventions
• depth psychology and spiritual guidance

This recording presents an integrative (body-mind-spirit) treatment approach that draws on cognitive behavior therapy, natural remedies, sleep hygiene, and spiritual strategies. It also transforms our view of sleep from a medical necessity to one of life’s sustaining satisfactions.

What you’ll learn in Insomnia: Integrative Sleep Therapy

Objectives

1. Categorize biomedical, psychological and environmental factors contributing to insomnia.
2. Utilize the basic procedures for evaluating and diagnosing insomnia evaluation.
3. Substantiate the negative consequences of long term use of sleeping pills.
4. Model sleep from both a physiological as well as phenomenological perspective.
5. Designate six factors that suppress REM sleep/dreaming.
6. Appraise the role of sleep effort in insomnia and strategies for managing it.
7. Manage insomnia using the noise reduction approach.

Outline

Epidemic of Sleep and Dream Loss

• Prevalence and trends of sleeplessness
• Night fever: insomnia, inflammation, illness
• Insomnia, anxiety, depression and PTSD
• Environmental factors: the erosion of night
• Artificial light at night (aLAN) and life pace
• Cultural resistance to rest / hyperarousal
• Insomnia as an addiction to waking consciousness
• Insomnia as a social illness

What is Sleep? What is Dreaming?

• We don’t get sleep because we don’t ‘get’ sleep
• Medicalization and domestication of sleep
• Suppression of night, darkness and melatonin
• Nature of sleep and dreams
• Deep sleep and the deep self
• Rhythmic infrastructure of everything
• Circadian rhythm & blues: sleep phase disorders
• REM sleep, dreaming and dream loss
• Traditional and spiritual views of sleep and dreams

Insomnia: Definition, Etiology and Evaluation

• Types of insomnia; sleep and dream loss
• 3P model of etiology
• Lifestyle factors in sleep loss
• Iatrogenic factors: common medications and sleep
• Nature deficit disorder and sleep disruption
• Arrogance and hyperarousal
• Biomedical factors in sleep loss
• Impact of other sleep disorders
• Screen and evaluate sleep and dreams

Management and Treatment of Insomnia

• Noise Reduction Model (NRMI)
• Taking vs. letting go of something to sleep
• Biomedical factors: manage ‘body noise’
• Sleeping pills: a wolf in sleep’s clothing
• Botanicals, nutrition, melatonin
• Nutrition and sleep
• The body in sleep: gravity & stimulus control
• The princess & the pee: what wakes us up at night?
• Environmental factors: managing ‘bed noise’
• Conditioned insomnia
• Stimulus control and sleep constriction

Psychological Factors: Manage ‘Mind Noise’

• CBT-I: thoughts, beliefs and meta-cognitions around sleep
• Paradox of sleep effort: the ego cannot sleep
• Sleeping together: the night side of relationships
• Sleeping in the forest – the art of sleep
• Humility as the antidote to hyperarousal
• Secondary gain of primary insomnia
• Dream work: interpretation, relation and healing
• Bad dreams, nightmares, PTSD and shadow work
• Video: sleep interview & treatment process

Transpersonal Views

• Sleep and dreams as spiritual practice
• Non-violent approach to night, sleep and dreams
• Art of spiritual surrender
• Where do you go when you go to sleep?
• Fall in love with sleep again
• The waking dream: re-enchanting everyday life
• The US of consciousness: sleep & dream lessons for waking
• Braid Theory: toward a unified consciousness

About Rubin Naiman

Rubin Naiman, Ph.D., is clinical assistant professor of medicine and the sleep and dream specialist at the University of Arizona’s Center for Integrative Medicine, directed by Dr. Andrew Weil. He is a leader in the development of integrative medicine approaches to sleep and dream disorders, integrating conventional sleep science with depth psychological and spiritual perspectives.

Dr. Naiman is the author of a number of groundbreaking works on sleep, including Healing Night, Healthy Sleep (with Dr. Weil), The Yoga of Sleep, Hush, and medical textbook chapters, as well as two upcoming books, Seven Weeks to Serene Sleep and DreamLife. Dr. Naiman also blogs for Huffington Post and Psychology Today. His presentations have been described as “brilliant,” “magical,” “truly creative,” and “simply outstanding.” (See www.DrNaiman.com.)

Speaker Disclosures:

Financial: Rubin Naiman receives compensation as owner of Circadian Health Associates. He is also a consultant for Origins Natural Resources. Rubin Naiman receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.

Non-financial: Rubin Naiman has no relevant non-financial relationship to disclose.

Speaker Disclosures:

Financial: Rubin Naiman receives compensation as owner of Circadian Health Associates. He is also a consultant for Origins Natural Resources. Rubin Naiman receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.

Non-financial: Rubin Naiman has no relevant non-financial relationship to disclose.

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