• Introduction to PTSD Sleep Clinic
    & Imagery Rehearsal Therapy

    Presented by Author and Sleep Specialist: Barry Krakow, M.D.

Please contact us for upcoming workshop dates. 

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*CME Offered

"As a psychiatrist who treats complex PTSD patients, I found your course to be very helpful and came home with several new ideas."

Madhulika A. Gupta, MD, FRCPC, DABSM
Professor, Department of Psychiatry
Schulich School of Medicine and Dentistry
University of Western Ontario

Program Description:

The main program addresses the emerging model of the PTSD Sleep Clinic and provides the fundamentals of Imagery Rehearsal Therapy. Main Programs are lecture format or workshops and include ample opportunities for Q & A. Dr. Krakow frequently queries his audience to challenge participants' perspectives about how they understand and treat sleep problems.

Supplemental programs will be offered the second day of the workshop in: Emotion Focused Therapy for Chronic Insomnia and Complex Sleep Disorder Cases.

The main morning program begins in the morning with an “Introduction to the PTSDSleep Clinic” that describes the 24-hour cycle of sleep disturbances and resultant impairment afflicting trauma survivors whose complex sleep disorders often go undiagnosed and untreated.  The morning program concludes with "A Complex Sleep Disorders Case"  in which a series of nearly 20 encounters are described for a middle-aged, female trauma survivor with highly complex psychological and physiological sleep disorders. Multiple interdisciplinary aspects of the case are discussed and integrated into the whole of the patient’s lengthy, difficult, and successful treatment course.

The main afternoon program follows a buffet lunch (provided on-site) and consists of 4 consecutive sessions training for the application of Imagery Rehearsal Therapy (IRT). Session I covers new perspectives on the causes and treatment of chronic nightmares and the unrecognized impact of nightmares on trauma survivor's sleep. Session II covers the underlying rationale to explain the persistence of chronic nightmares in trauma survivors and an introduction to the human imagery system. Session III expands on our understanding and application of imagery techniques with specific use of imagery in the process of behavioral changes. Session IV integrates all the information from the first three sessions, provides step-by-step instructions on IRT, and then continues with extensive discussion on special cases and treatment pearls for application in individual therapy and groups. These 4 sessions and the companion slidesets constitute the 4 weekly group treatment sessions you can use in clinical practice for groups or configure for individual treatment.

Supplemental Program #1:

A key fact - one frequently dismissed or ignored among chronic insomniacs - is their nearly universal problem with managing stress. Their poor coping skills are invariably related to incomplete and inaccurate perspectives on emotional processing. As a result, their weak emotional processing skills directly exacerbate their insomnia problems not only due to the patient's inability to find emotional closure at the end of the day, but also the absence of emotional awareness often interferes with their attempts to apply basic sleep hygiene practices or advanced cognitive-behavioral strategies. The session demonstrates a step-by-step method to raise patients' emotional awareness as it directly applies to their insomnia, including a detailed discussion of Dr. Krakow's paradigm known as the TFI System (thoughts, feelings, images), primary vs. secondary emotions, and the distinction between "thinking about" vs. "feeling" one's feelings, and then offers additional ! steps to acquire clear emotional coping strategies.

Optional Program (No CME): 

Dr. Krakow has reserved this time for any attendee who would like to spend time discussing difficult cases, integrating programs into clinical operations and assisting in developing research programs.


  • *CPAP - Continuous positive airway pressure
  • *ABPAP - Auto Bi-Level positive airway pressure
  • *ASV - Adaptive servo-ventilation
  • *RLS - Restless leg syndrome
  • *PLMD - Periodic limb movement disorder

* This activity has been planned and implemented in accordance with the Essential Areas and polices of the New Mexico Medical Society (NMMS) through the joint sponsorship of New Mexico Medical Review Association (NMMRA) and Maimonides Sleep Arts & Sciences, Ltd.. The NMMRA is accredited by the NMMS to provide Continuing Medical Education for physicians.

The NMMRA designates this regularly scheduled series for a maximum of 12.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

About Dr. Krakow

Dr. Barry Krakow is a board-certified internist and sleep specialist with more than 20 years of practice devoted to assessment and treatment of mental health patients with sleep disorders. Currently, he is medical director of two sleep facilities in Albuquerque, NM: Maimonides Sleep Arts & Sciences, Ltd, a community-based, sleep medical center and the Sleep & Human Health Institute, a non-profit sleep research institute.

Dr. Krakow's research team has published many firsts in the field of sleep medicine:

  • The first randomized controlled study to demonstrated that a cognitive-imagery technique can successfully decrease chronic nightmares without medication or psychotherapy
  • The first studies to show that trauma survivors suffer inordinately high rates of sleep breathing problems that worsen their insomnia, anxiety, depression, and posttraumatic stress symptoms.
  • The first studies to link sleep breathing problems to insomnia complaints among psychiatric patients
  • The first case series showing that treatment of sleep breathing problems decreases insomnia problems in many different types of insomnia patients
  • The first study to show that a large proportion (50%) of sleep center patients with sleep apnea also suffer from clinically significant insomnia symptoms, which may interfere with their efforts to treat their sleep breathing problems
  • The first study to show that evidence-based sleep medicine treatments could help disaster survivors and crime victims with sleep problems
  • The first randomized controlled study to demonstrate that nasal dilator strips can reduce insomnia symptoms in patients with likely sleep-disordered breathing.
For more information about Dr. Krakow, click here