Advanced CBT-I (Advanced Course)

Due to COVID-19 our Basic and Advanced Courses are in the process of being rescheduled. In the meantime, we have included a digital archive (below) and a wealth of resources in the "General Resources" tab. Please check back occasionally for updates for our live events. Until then, we hope you remain well and are staying safe.  Thank you for your patience and we look forward to seeing you soon! 

Archived Courses (available on digital media):



Future Dates:

2021 CBT-I Advanced Course: April 22nd, 23rd & 24th, 2021

2022 CBT-I Advanced Course: April 21st, 22nd & 23rd, 2022

Please contact Dr. Perlis at for more information.

Thursday through Saturday, April 23rd, 24th and 25th 2020

The University of Pennsylvania, Perelman Quadrangle, Houston Hall: 218 Ben Franklin Meeting Room.

Because we are not affiliated with a hotel or external hosting agency, attendees are responsible for securing their own accommodations. Please note that there are a limited number of hotels in West Philadelphia, so please make reservations early.

If you are not able to stay in West Philadelphia, Center City (the neighborhood opposite the Schuylkill River) offers a plethora of hotels and is a short (10-15min) walk/subway/taxi ride away!

The following Hotels (click for links) are located near the Conference Hall:

The Ben Franklin Meeting Room is located above one of the University's premier dining halls. Visit their website to learn more:

A continental breakfast will be provided free of charge each morning outside of the lecture hall. Lunch and dinner will be on-your-own.

The purpose of this educational activity is to provide advanced training to clinical psychologists, social workers, PhD/NP level nurses and physicians in the practice of CBT-I. This 3 day seminar is only those that have basic training thru Penn or the VA CBT-I Program (or have permission to attend the course). The workshop is split 2:1 in favor of active learning exercises to lectures. The learning exercises (Day 2 & 3) include e.g., case presentations and role plays. The lectures (Day 1 only) cover several advanced topics including Advanced Models of Insomnia, Actigraphy, Interpreting PSG reports, alternative treatment strategies (e.g., sleep compression, bright light treatment, etc.), med titration, etc. For a prospective itinerary please click here

The program should position clinicians to more effectively deal with complex issues and cases. This training, along with other CE workshops, supervised practice, a past case load of 10 or more cases, and a reasonable program of self-study (readings and videos) should adequately prepare individuals for the certification exams (e.g ABPP Specialty in "Sleep Psychology.")

Case Submissions

We would like to ask for attendees to consider submitting a case study report for this course. Why should you do such a crazy thing? Well, if you elect to submit a case (and do so on or before the deadline) we will rebate you $50 following your attendance at the Advanced Course. But wait, there's more! If you elect not only to submit, but also to present the case (and field questions and comments at the course) and submit a Power Point presentation outlining the case on or before the deadline, we will rebate you an additional $50 (total $100) following your attendance at the Advanced Course. Please know that these presentations are meant to be instructive for you and the other attendees. There will be no harsh judgements, tomatoes thrown, etc. These presentations form the core of what the Advanced Course is about and we greatly appreciate the effort expended by attendees who join us as presenters. Finally, as a testament to the value of this component of the course, the majority of last year's attendees agreed that the case presentations were the highlight of the Advanced Course. So please don't be bashful. This is not required, but we'd like to have up to 10 attendees submit cases.

The case submission should be:

1) Tendered through the Case Studies Archive Worksheet (8 weeks prior to the course: (see, and 

2) Formatted based on a Power Point template we will provide upon submission/request (email This is due 4 weeks before the course.

It's that simple! If more than 10 cases are submitted, presentations will be selected based upon the date of submission and how the case fits into the teaching mission. So sign up now!

Eligible individuals must have: 1) taken the VA, Penn, or Ryerson University Basic CBT-I workshops and, 2) treated 5 to 10 patients. Others may be eligible but this requires a clear demonstration of formal training (e.g., a rotation during internship that focused on the assessment and treatment of insomnia) and once again the treatment of 5 to 10 patients with CBT-I. Those who wish to establish eligibility should write Dr. Michael Perlis at:

Advanced CBT-I Course Educational Objectives

Upon completion of this course, participants should be able to:

Day 1:

  1. Articulate the advanced models of insomnia as it relates to clinical practice.
  2. Integrate the advanced models into clinical practice as a way of tailoring CBT-I intervention. 
  3. Integrate an understanding of the advanced models into clinical practice as a way to address patient resistance. 
  4. Explore the relative merits of various modes of CBT-I treatment delivery (e.g.  in person, group treatment, and tele-heath technologies).
  5. Analyze the efficacy of Group CBT-I 
  6. Communicate the relative advantages and disadvantages of individual vs. group delivery of CBT-I.
  7. Analyze the possible security risks involved in telehealth delivery of CBT-I in order to protect patient privacy.
  8. Describe how actigraphy can be integrated into clinical practice to improve assessment and outcomes.
  9. Analyze the relative merits the relative merits of various actigraphy features and how they can be utilized in practical applications.
  10. Specify when to utilize actigraphy in the practice of CBT-I and why the data serves as an adjunct to but not substitute for sleep diary data

Day 2:

  1. Explore the use of adjuvant and alternative treatment strategies that can be used to modify or substitute for CBT-I.
  2. Integrate phototherapy with CBT-I in order to address circadian rhythm issues that complicate the treatment of insomnia.
  3. Recognize the indications for alternative treatment strategies in CBT-I such as sleep compression and counter control
  4. Articulate how mindfulness mediation can be integrated into the practice of CBT-I
  5. Explore how to synthesize data from a PSG report and integrate into clinical treatment choices.
  6. Articulate the differences between AHI, AI, and PLMI, and understand how to integrate these measures into the assessment of intrinsic sleep comorbidities.
  7. Integrate validated sleep instruments into the assessment of insomnia to inform clinical treatment interventions. 
  8. Articulate the behavioral treatments for SDB & PLMs and integrate into CBT-I
  9. Evaluate 3 options for hypnotic medication tapering for the purpose of treatment planning.
  10. Assist clients in overcoming barriers that impede willingness to taper from hypnotic medication.
  11. Analyze the relative merits of utilizing hypnotics concurrently with CBT-I, and its clinical implications. 
  12. Analyze the relative merits of utilizing stimulant medication such as modafinil concurrently with CBT-I, and its clinical implications. 

Day 3:

  1. Articulate the components of a clinical assessment algorithm and its clinical implications in the treatment of insomnia.  
  2. Apply the clinical algorithm for case presentation and clinical decision making for insomnia patients.
  3. Evaluate patients for appropriateness for CBT-I, and specify comorbidities that are contraindicated.
  4. Present clinical case information, to formulate and evaluate treatment options and outcomes.
  5. Write a data driven clinical insomnia case assessment and outcome report to be shared with other health care professionals
  6. Address common patient resistance and non-adherence in the context of CBT-I
  7. Utilize cognitive strategies to overcome insomnia patient anxiety and resistance to change.
  8. Practice/ role play alternative strategies for delivery of CBT-I prescriptions.




Michael Perlis, PhD
Associate Professor of Psychology in Psychiatry, University of Pennsylvania; Director, Penn Behavioral Sleep Medicine Program, University of Pennsylvania; Adjunct Faculty, School of Nursing, University of Pennsylvania

Donn Posner, PhD
Adjunct Associate Professor of Psychiatry and Human Behavior, Brown University; Adjunct Associate Professor of Psychiatry, Stanford University

Jason Ellis, PhD
Professor, Department of Psychiatry, Northumbria University; Director, Northumbria Centre for Sleep Research

For registration and conference information, please see link below and/or contact:

Patti Johnson, Course Director
3839 White Ave., Eau Claire, WI 54703
(715)-855-8134 or 800-647-8079 (ext. 8134)

For questions about hotels, UPenn, and general inquiries, contact:

Michael Perlis, PhD
Director of Behavioral Sleep Medicine 
Associate Professor, Department of Psychiatry
Associate Professor, School of Nursing
Phone: (215)-746-4378 
Fax: (215)-573-0759

To register, please visit the PESI registration website:

If you have any registration questions, please contact Patti Johnson, Course Director (contact information  listed above) and reference the following PESI Program Code: 76058

Please register early so that we can plan for amenities in our new venue accordingly.

Early Registration (on or before January 23rd)

$549.00: MD Level

$499.00: PhD/NP Level Registrants

$349.00: Students

Standard Registration (January 23rd-February 23rd)

$700.00: MD Level

$600.00: PhD/NP Level Registrants

$500.00: Students

Late Registration (February 24th-April 7th)

$800.00: MD Level

$700.00: PhD/NP Level Registrants

$600.00: Students

Registration after April 7th:

$900.00: MD Level

$800.00: PhD/NP Level Registrants

$700.00: Students

Total CEs: 24

Please see Continuing Education tab for more information on CE credits.


Research on Insomnia and Research Limitations:

  • Epidemiologic and Experimental insomnia research, while suggestive, does not imply causality
  • Clinical Trial Efficacy Studies on CBT-I may have limited generalizability
  • Clinical Trial Efficacy Studies on sedatives may have limited generalizability

Please click here for PDF version of the seminar agenda.

Sponsored by: 
Perelman School of Medicine at the University of Pennsylvania

Hosted by: 
The Behavioral Sleep Medicine Program
Perelman School of Medicine at the University of Pennsylvania

Presented by: 
Center for Sleep and Respiratory Neurobiology
Division of Sleep Medicine
Department of Medicine
Perelman School of Medicine at the University of Pennsylvania

Department of Psychiatry 
Perelman School of Medicine at the University of Pennsylvania

Biobehavioral and Health Sciences Division
University of Pennsylvania School of Nursing

PESI Continuing Education Seminars

Please click here for continuing education information.

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