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Behavioral Interventions for Night Terrors and other Sleep Disorders
10 CEUs Behavioral Interventions for Night Terrors and other Sleep Disorders

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Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs | Sleep Disorders CEU Courses

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Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What are three signs of night terrors?
2. What are three effective cognitive intervention treatments for children or adolescents suffering from type ‘A’ night terrors?
3. What are three factors involved with type ‘B’ night terrors?
4. What are the six steps to the psychotherapeutic approach for treating night terrors?
5. If the child wakes during the night, how should clients respond?
6. What are two behavioral interventions for insomnia? 
7. What are two additional interventions for insomnia?
8. What are two ways to adjust circadian rhythms?
9. What are the three steps in phase delay as a method to adjust circadian rhythms?
10. What is sleep inertia?
11. What are four mental imagery techniques for sleep disorders?
12. What is a leading contributing factor regarding breathing related sleep disorders such as sleep apnea?
13. What are three techniques for relaxation regarding sleep disorders?
14. What are two techniques for sleep disorder clients who have difficulty getting to sleep as a result of the frustration, anxiety and tension?
Answers:
A.  Two behavioral interventions for insomnia are stimulus control therapy and sleep restriction therapy.
B. Sleep inertia is the tendency of a client’s performance following a nap to actually be worse than it was before the nap.
C.  Three techniques for relaxation regarding sleep disorders are stretching, mind games, and autogenic training. 
D.  Three signs of night terrors may be rapid heartbeat, profuse sweating, and rapid breathing.
E. Weight problems are a leading contributing factor regarding breathing related sleep disorders such as sleep apnea.
F. Two ways to adjust circadian rhythms are realigning circadian rhythms and altering circadian rhythms with light. 
G.  The six steps to the psychotherapeutic approach for treating night terrors are: Following Sleep Guidelines, Validating Trauma and Evaluating Family Ties, Exploring Present Circumstances, Addressing Resultant Health Problems, Allowing Solitude, and Implementing the Steps Simultaneously. 
H. Three factors involved with type ‘B’ night terrors are extreme trauma, complications resulting from type ‘B’ night terrors, and personality characteristics.
I.  Two additional interventions for insomnia are relaxation therapies and cognitive therapy. 
J. Four mental imagery techniques for sleep disorders are the ‘Float Along,’ ‘Drifting Downward.’ ‘Count Down to Relaxation,’ and the ‘On Vacation’ techniques. 
K.  Three effective cognitive intervention treatments for children or adolescents suffering from type ‘A’ night terrors are behavior documentation, assisted recall, and associative connections. 
L. Two techniques for sleep disorder clients who have difficulty getting to sleep as a result of the frustration, anxiety and tension are worry time and reducing tension and coping with stress. 
M. Three steps in using phase delay with a client are to initiate phase delay, continue with subsequent phase delays, and maintain the rhythm.
N.  Clients should respond to a waking child by repeating that day’s progression.

Course Content Manual Questions The Answer to Question 15 is found in Section 15 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
15. What are six guidelines for developing an assessment procedure for child and adolescent sleep disturbance?
16. According to Guilleminault, what are two triggers for childhood sleep disturbances that parents may not consider?
17. According to Mead, what is one technique that can help a therapist gain insight into the exact nature of the client’s sleep disturbances?
18. According to Owens, what are three differences in children with behavioral sleep disorders, as compared to children with obstructive sleep apnea?
19. What are Turkoski’s behavioral tips for insomnia?
20. What are three nonclinical treatments for sleep difficulties?
21. According to Boivin, what is the relationship between circadian rhythms and the self-assessment of mood?
22. What are seven natural therapies you might recommend to sleep disordered clients?
23. What is the difference between an NREM sleep disorder and an REM sleep disorder?
24. According to Shapiro, what does sexsomnia have in common with other NREM parasomnias such as sleepwalking, sleep terrors, and confusional arousals?
25. What are the primary symptoms of Restless Legs Syndrome?
26. What are six behavioral approaches that may be useful in treating Restless Leg Syndrome?
Answers:
A.  All of these parasomnias have partial arousal as a main feature, resulting in an intermixed sleep-wake state and complex behavior.
B.  1. Stimulus control, 2. progressive muscle relaxation, 3. paradoxical intention, 4. biofeedback, 5. sleep restriction therapy, 6. cognitive behavioral therapy
C.  Three treatments are: 1. sleep hygiene; 2. exercise; 3. bright light therapy.
D.  1. Identify the Role of Medical Pathology; 2. Screen for Parental Psychopathology; 3. Identify Coexisting Child Behavior or Emotional Problems; 4. Obtain the History and the Current Presentation; 5. Monitor Ongoing Sleep Schedule and Sleep- Related Behaviors; 6. Obtain a Nighttime Video or Actigraph Home Monitoring.
E. 1. Shorter sleep duration; 2. increased frequency of bedtime struggles, 3. greater number and severity of externalizing daytime behavior problems
F. Non-REM sleep parasomnias occur mainly in the first third of the night, during non-Rapid Eye Movement (dreamless) sleep. Others are typical of REM (rapid eye movement or dreaming) sleep and occur mainly in the last two-thirds of the night.
G.  Turkoski’s tips are: Develop and maintain a regular bed time and wake schedule; Establish a regular, relaxing bedtime routine; Avoid heavy, spicy foods close to bedtime; Restrict excessive fluids close to bedtime; Avoid alcohol, caffeine, and nicotine close to bedtime; Create an environment that is conducive for sleeping; Have comfortable bedding; Use the bedroom only for sleep and sex.
H.  Two triggers are sleep-disordered breathing and restless leg syndrome.
I.  1. Massage; 2. Yoga; 3. pressure points; 4. music therapy; 5. Ayurvedic medicine; 6. changing bad habits; 7. herbal tea
J.  Patients may describe the symptoms as "pulling, searing, drawing, or crawling" beneath the skin, usually in the calf area. Itching and pain may be present. 
K.  These results indicate that the temporal alignment between the sleep--wake cycle and the endogenous circadian rhythms affects self-assessment of mood in healthy subjects.
L. Mead suggests having clients complete a sleep diary.


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