On Demand OCD & Anxiety Lecture Series: Sleep, Dreams and Rumination in OCD

This presentation was originally reviewed on October 5, 2023, and broadcast live online on October 6, 2023, from 1:45 PM – 3:15 PM ET. 

The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.

    In humans, approximately 30% of a 24-hour period is spent sleeping or trying to sleep. It is incredibly hard to NOT sleep. Over the past 25 years of working with individuals with mental health disorders, I cannot think of a single person who reported that they couldn’t sleep at all. And yet it also seems incredibly hard to sleep “well”. The vast majority of people I have worked with clinically have reported wanting more sleep, or sleeping too much, or having trouble falling asleep, or having chronic nightmares and nighttime panic or waking up exhausted. When it works well, sleep is supposed to be restorative - which means we wake up rested and ready for the challenges of a new day. Under the umbrella of sleep terminology, there are a variety of terms - sleep architecture, sleep continuity, sleep onset latency, rapid eye movement latency and narrative and emotional experiences while dreaming.  In this talk we are going to learn about these terms and apply them to individuals struggling with OCD. A quick pubmed search for journal articles on OCD and sleep show that from 1979-2010 there were 60 published papers on the topic. That’s about 2 papers per year. Since 2011 to now, there have been 163 published articles - that’s about 13 papers per year. Quite a nice increase in interest in this topic. But type in sleep and depression and from 2011-to now you will see more than 24,000 published papers. This is my long-winded way of saying, we really do need more research. But here are some things we know. Poor sleep seems to be a problem in people with OCD - but the nature of the poor sleep varies across studies. Perhaps one of the more consistent findings is something called a delayed sleep phase. People with OCD sleep later in the night. Although there are a variety of other findings such as reduced total sleep, shortened REM latency, more frequent waking through the night and trouble falling and staying asleep. These findings are less consistent across studies and when these sleep problems have been detected in studies, they may be due to co-morbid depression. In the context of dreams, the content of dreams has not been studied much in OCD, but there has been at least one study to find that people with OCD have dreams related to their obsessions and compulsions. There is an established set of treatments for poor sleep derived from treating insomnia and other sleep problems that we can apply to helping individuals who are sleeping poorly and have OCD. We will go over these treatments including sleep restriction training, stimulus control procedures and nighttime mood management strategies. 

    Target Audience

    This activity is intended for physicians, nurses, psychologists, social workers, counselors, and other mental health professionals.

    Learning Objectives

    After this lecture, registrants will be able to:

    1. Describe sleep and what poor sleep actually means.
    2. Define the most common sleep problem associated with OCD.
    3. Identify some basic behavioral strategies to help individuals with OCD sleep better.
    Course summary
    Available credit: 
    • 1.50 ACEP NBCC clock hours
    • 1.50 AMA PRA Category 1 Credit™
    • 1.50 Category II credits for Social Workers
    • 1.50 Psychologists
    • 1.50 MNA Contact Hours for Nurses
    • 1.50 Participation
    Course opens: 
    11/07/2023
    Course expires: 
    11/04/2025

     

     

    There is no commercial support for this activity.

    About the speaker

    Dr. Sarosh Motivala is a licensed clinical psychologist specializing in CBT and exposure-based approaches to treat OCD spectrum and anxiety spectrum disorders. From 2011-2018 he worked in the UCLA Adult OCD Treatment Program. He served as Training Director for the program from 2013-2018. He developed and launched a doctoral externship for clinical psychology graduate students and then started a psychiatry rotation for UCLA psychiatry residents. He has presented at the International OCD Foundation (IOCDF) Annual Conference, has served on the IOCDF Task Force Committee and Diversity Council. He conducts community lectures annually through UCLA Health on OCD and anxiety.

    Before specializing in OCD, he was the recipient of a 5-year Clinical Scientist Award from the National Institutes of Health to study sleep and neuroendocrine regulation in chronic insomnia patients. He received his doctorate from the University of Miami and completed his clinical internship at UCLA and was a postdoctoral fellow at the UCLA Cousins Center for Psychoneuroimmunology. He has authored or co-authored over 30 peer-reviewed journal articles and book chapters and has presented his work at numerous national and international research conferences. In his clinical work, he integrates traditional behavior therapy with CBT and Acceptance and Commitment Therapy (ACT) and relies heavily on research validated treatments to guide his practice.

    Disclosure Statements

    Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she  has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services, or off-label uses of product(s) during this presentation.

    Sarosh J. Motivala, PhD, report that he has no relationships with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients during the past 24 months. He will not discuss any products, services, or off-label uses in this presentation. All conflicts have been mitigated through review. 

    Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Jon Hershfield, MFT, Todd Peters, MD, Deepak Prabhakar, MD, Elizabeth Ryznar, MD, MSc, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PsyD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Stacey Garnett, RN, MSN, Stephanie M. Robinson, MSN, RN, PMH-BC, NPD-BC, NE-BC , Heather Billings, RN, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.

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    Available Credit

    • 1.50 ACEP NBCC clock hours
    • 1.50 AMA PRA Category 1 Credit™
    • 1.50 Category II credits for Social Workers
    • 1.50 Psychologists
    • 1.50 MNA Contact Hours for Nurses
    • 1.50 Participation
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    ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME

    OCD & Anxiety Workshop: Preparing Your Patients for Learning to Live With Uncertainty: ERP+

    Sarosh J. Motivala, PhD

    Director, Spectrum CBT 

    Semel Institute for Neuroscience & Human Behavior, UCLA

    Health Sciences Clinical Assistant Professor, Psychiatry and Biobehavioral Sciences

    Los Angeles, CA

    Originally reviewed on October 5, 2023.
    Originally broadcast live October 6, 2023, from 12:00 PM – 3:15 PM ET.
    Enduring Activity Credit Expiration Date: November 4, 2025.

    Activity Time: Ninety-minute webinar lecture with a 15-minute evaluation process. Total Time: 1:45.

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