The Unbearable Dread of Sleep: How to Curb Unleashed Terror in Traumatised Clients suffering from Night-time Flashbacks, Nightmares, Night Terrors and Night-time Panic Attacks – Christiane Sanderson

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Instant Access!!—Recorded on 7 September 2023

CPD/CE credits

6
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We live in a culture that demands maximising each day. Those that are able to work are all too often required to work inordinately long hours and those who claim to need very little sleep are applauded. In addition, daylight hours are being extended through the use of white and blue light through the use of devices which impairs natural sleep and wake cycles. Current research on the function of sleep and sleep deprivation has shown that there is a complex interplay between physiological and psychological factors that impact on the sleep-wake cycle which regulate both the duration of sleep and the quality of sleep, as well as rapid eye movement (REM) and non-rapid eye movement (NREM) sleep and what happens if these are compromised.

While sleep problems are associated with a number of physical and mental health problems such as depression, anxiety, obesity and a range of medical conditions, many of which can be ameliorated with life style changes and sleep hygiene, clients who are traumatised tend experience more severe sleep disturbances such as night-time flashback, trauma related nightmares, night terrors and night-time panic attacks. Many traumatised clients are able to armour themselves during the day to keep distressing thoughts, feelings and memories at bay through distractions, only to find that when the armour is removed at night that what was kept at bay is unleashed during the night leading to a dread of going to sleep, insomnia, disrupted sleep, disturbing dreams and nightmares, and night time panic attacks. In addition, clients whose sleep is consistently compromised will suffer from sleep exhaustion, impaired cognitive and executive functioning, daytime dissociative states, in particular depersonalisation, as well as a compromised immune system and concomitant physicalhealth problems all of which exacerbates trauma symptoms. Read More

TRAINING information

We live in a culture that demands maximising each day. Those that are able to work are all too often required to work inordinately long hours and those who claim to need very little sleep are applauded. In addition, daylight hours are being extended through the use of white and blue light through the use of devices which impairs natural sleep and wake cycles. Current research on the function of sleep and sleep deprivation has shown that there is a complex interplay between physiological and psychological factors that impact on the sleep-wake cycle which regulate both the duration of sleep and the quality of sleep, as well as rapid eye movement (REM) and non-rapid eye movement (NREM) sleep and what happens if these are compromised.

While sleep problems are associated with a number of physical and mental health problems such as depression, anxiety, obesity and a range of medical conditions, many of which can be ameliorated with life style changes and sleep hygiene, clients who are traumatised tend experience more severe sleep disturbances such as night-time flashback, trauma related nightmares, night terrors and night-time panic attacks. Many traumatised clients are able to armour themselves during the day to keep distressing thoughts, feelings and memories at bay through distractions, only to find that when the armour is removed at night that what was kept at bay is unleashed during the night leading to a dread of going to sleep, insomnia, disrupted sleep, disturbing dreams and nightmares, and night time panic attacks. In addition, clients whose sleep is consistently compromised will suffer from sleep exhaustion, impaired cognitive and executive functioning, daytime dissociative states, in particular depersonalisation, as well as a compromised immune system and concomitant physicalhealth problems all of which exacerbates trauma symptoms. Read More

Learning Objectives

∙ Identify the range of sleep problems and sleep disturbances associated with physical and mental health problems
∙ Examine the purpose and function of sleep and how sleep deprivation impacts on physical and mental well being
∙ Recognise additional sleep problems that are common in traumatised clients such as dread of going to sleep, insomnia, night-time flashback, trauma related nightmares, night terrors and night-time panic attacks, and fear of waking up Impact on
∙ Role of dissociation in sleep disturbances and how disturbed sleep can induce dissociative states in particular depersonalisation
∙ Introduce a range of practical strategies CBT-I interventions to improve sleep
∙ Familiarise practitioners with a range of additional informed trauma strategies to aid sleep such as grounding and emotional regulation skills, the use of anchors, and other sensory cues designed to make the sleeping space safe
∙ Increase awareness of how to manage night-time flashback, trauma related nightmares, night terrors and night-time panic attacks and restore sleep
∙ Identify the range of sleep medication and how these can be combined with physical and psychological interventions to improve sleep.

About the Speaker

Christiane Sanderson is a retired senior lecturer in Psychology at the University of Roehampton. With over 35 years’ experience working in the field of childhood sexual abuse interpersonal trauma and domestic abuse. She is the author of Counselling Skills for Working with Shame, Counselling Skills for Working with Trauma:Healing from Child Sexual Abuse, Sexual Violence and Domestic Abuse, Introduction of Counselling Survivors of Interpersonal Trauma, Counselling Survivors of Domestic Abuse, Counselling Adult Survivors of Child Sexual Abuse 3rd Edition, The Seduction of Children: Empowering Parents and Teachers to Protect Children from Child Sexual Abuse; The Hidden Taboo of Sibling Sexual Abuse: Working with Adult Survivors and The Warrior Within: A One in Four Handbook to Aid Recovery from Childhood Sexual Abuse and Sexual Violence, The Spirit Within: A One in Four Handbook to Aid Recovery from Religious Sexual Abuse Across All Faiths, Responding to Survivors of Child Sexual Abuse: A pocket guide for professionals, partners, families and friends and Numbing the Pain: A pocket guide for professionals supporting survivors of childhood sexual abuse and addiction.

CPD/CE

CPD / CE / NBCC credits available: 6

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Our trainings are accredited by:

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The Unbearable Dread of Sleep: How to Curb Unleashed Terror in Traumatised Clients suffering from Night-time Flashbacks, Nightmares, Night Terrors and Night-time Panic Attacks – Christiane Sanderson

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