The Maine Association of Psychiatric Physicians Invites physicians in all specialities, psychologists, nurses, social workers, physician assistants and other professionals engaged in treating patients with sleep disorders to our Fall Program scheduled for October 21-22, 2021 in Freeport.   

Program Schedule

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Thursday, October 21, 2021

2:30 p.m.         Welcome & Introductions

2:40 p.m.         Sleep & Sleep Disorders: A Long Historical Perspective - Sonja Ancoli-Israel, PhD

Objectives: The learning objectives for this activity has been designed to address Provider competence.  Upon completion of the activity, participants should be able to:

• Identify common sleep disorders.
• Explain the historical context of sleep disorders.
• Describe treatments of sleep disorders – then and now.

4:00 p.m.         Sleep and Healthy Aging - Clifford Singer, MD, DFAPA

Objectives: The learning objectives for this activity has been designed to address Provider competence.  Upon completion of the activity, participants should be able to:

• Discuss the major influences of sleep on physical and mental health in older adults.
• Generate a brief differential for the common sleep complaints of older adults.
• Create a biopsychosocial treatment plan for insomnia for an older adult. 

5:00 p.m.         Reception & Refreshments        

Friday, October 22

8:00 a.m.         Continental Breakfast

8:15 a.m.         Welcome & Introductions

8:30 a.m.         Medications and Sleep: Pharmacotherapy for Sleep-wake Disorders and the Influence of Psychotropic Medications on Sleep - Stephanie Nichols, PharmD, BCPS, BCPP

Objectives: The learning objectives for this activity has been designed to address  Provider competence.  Upon completion of the activity, participants should be able to:

• Recall dosing, mechanism of action, adverse effects, drug interactions, warnings/precautions, and clinical pearls for medications used in sleep-wake disorders
• Outline evidence-based pharmacotherapy plans, including safety and tolerability monitoring, for patients with sleep-wake disorders
• Describe how psychotropic medications can influence sleep duration and quality

9:30 a.m.         An Introduction to Cognitive-Behavioral Therapy -  Joel Guarma, PhD

Objectives:  The learning objectives for this activity has been designed to address Provider competence.  Upon completion of the activity, participants should be able to:

• List and distinguish the three primary components of Cognitive-Behavioral Therapy (CBT-I).
• Demonstrate behavioral goal setting for better sleep hygiene and stimulus control.
• Summarize the strategy of sleep restriction.

10:30 a.m.       Break with Exhibitors

11:00 a.m.       Sleep, Memory & Dreams: A Unified Theory - Robert Stickgold, PhD

Objectives:  The learning objectives for this activity has been designed to address Provider competence.  Upon completion of the activity, participants should be able to

• Define "memory evolution" and describe how it differs from memory consolidation
• List three examples of sleep-dependent memory evolution
• Explain the NEXTUP model of dream function and construction

12:00 p.m.       Lunch

1:00 p.m.         Sleep Disorders in Children & Adolescents - Judith Owens, MD, MPH

Objectives:  The learning objectives for this activity has been designed to address Provider competence.  Upon completion of the activity, participants should be able to:

• List the recommended amounts of sleep for children across the age spectrum.
• Describe the key clinical features of pediatric narcolepsy.
• Describe the common clinical features of partial arousal parasomnias.

2:00 p.m.         Translating Sleep Science to the Clinical Care of Patients at Risk for Living with Affective Disorders - Charles F. Reynolds, III, MD

Objectives:  The learning objectives for this activity has been designed to address Provider competence.  Upon completion of the activity, participants should be able to:

• Understand the spectrum of sleep disturbances reported in unipolar major depression and in bipolar disorder.
• Explain the risks posed by sleep changes for incident and recurrent episodes of mood disorders, as well as risk for suicidal ideation and suicidal behavior.
• Describe the utility of measuring sleep changes in the clinical care of patients at risk for, or already living with, unipolar depression and bipolar disorder. 

3:00 p.m.         Break with Exhibitors

3:30 p.m.         Sleep in Aging: including Obstructive Sleep Apnea and Dementia  - Sonja Ancoli-Israel, PhD

Objectives:  The learning objectives for this activity has been designed to address Provider competence.  Upon completion of the activity, participants should be able to:

• Understand the reasons sleep changes with age.
• Describe the prevalence and consequences of OSA in older adults.
• Understand the relationship between OSA and dementia.

 

4:30 p.m.         Closing Remarks

Speaker Biographies

KEYNOTE PRESENTATION - Sonia Ancoli-Israel, Ph.D.

Sonia Ancoli-Israel, Ph.D. is a Professor Emeritus and Professor of Research in the Department of Psychiatry and the Center of Circadian Biology at the University of California San Diego (UCSD) School of Medicine. Dr. Ancoli-Israel received her Bachelor’s Degree from the State University of New York, Stony Brook, a Master’s Degree in Psychology from California State University, Long Beach and a Ph.D. in Psychology from the University of California, San Francisco.

Dr. Ancoli-Israel’s expertise is in the field of sleep disorders and circadian rhythms particularly in normal aging and neurogenerative disease, and in cancer. Dr. Ancoli-Israel is Past-President of the Sleep Research Society (SRS), Past-President of the Society for Light Treatment and Biological Rhythms and was on the founding Executive Board of the National Sleep Foundation. 

She was honored in 2007 with the National Sleep Foundation Life-Time Achievement Award and the SRS Mary A. Carskadon Outstanding Educator Award, in 2012 with Society of Behavioral Sleep Medicine Distinguished Career Award, in 2014 with the SRS Distinguished Scientist Award and in 2019 with the American Academy of Sleep Medicine William C. Dement Academic Achievement Award.  Dr. Ancoli-Israel is published regularly in medical and psychiatric journals with over 500 publications in the field.

Clifford Singer, MD

Dr. Cliff Singer is a psychiatrist and geriatrician. He has been a physician, teacher, and researcher for more than thirty years and currently serves as Chief of Geriatrics at Northern Light Acadia Hospital and is the Director of the Northern Light Alzheimer’s Research Program.  He has had an interest since residency in sleep, chronobiology, and aging. 

Stephanie Nichols, Pharm.D., BCPS, BCPP, FCCP

Stephanie Nichols is an Associate Professor in the University of New England School of Pharmacy, an Adjunct Clinical Assistant Professor of Psychiatry in the Tufts University School of Medicine, core faculty in the MMC/VA Addiction Medicine Fellowship, and lecturer in the MMC Psychiatry Residency program. She is a Board-Certified Pharmacotherapy Specialist and Psychiatric Pharmacist and a Fellow of the American College of Clinical Pharmacy. Provision of interprofessional didactic and clinical education to students, residents, and lifelong learners is a passion of hers. She serves on Maine’s Opioid Response Clinical Advisory Committee, Maine’s Medical Professionals Health Program Advisory Committee, the Co-Occurring Collaborative Serving Maine’s Board of Directors and as a Senior Editor for the College of Psychiatric and Neurologic Pharmacists’ Board-Certified Psychiatric Pharmacist Recertification Book and Preparatory Series. She has co-authored over 30 peer-reviewed, published manuscripts in journals including Pharmacotherapy, Pharmacology, Current Psychiatry, Journal of Patient Safety, Pain, Journal of Psychopharmacology, Journal of Studies on Alcohol and Drugs, Journal of Addiction Medicine, and Psychosomatics.

Joel Guarna, PhD

Joel Guarna is a licensed psychologist in the state of Maine. His early career was delivering addictions treatment, including in the VA Boston Healthcare System. In recent years, his work has focused on clinic-based health psychology and behavioral medicine. He was co-director of the Living Life Well Pain Rehabilitation Program at Mercy Pain Center for several years. He also worked as integrated behavioral health clinician at MMP Endo and Diabetes in Scarborough. Currently, his primary role is as Behavioral Health Faculty Lead for the Maine Medical Center Family Medicine Residency Program. He is a Clinical Assistant Professor at the Tufts University School of Medicine.

Robert Stickgold, MD

Dr. Stickgold is a Professor of Psychaitry at Harvard Medical.  He graduated from Harvard University before attending the University of Wisconsin–Madison where he received his doctorate in biochemistry.  A preeminent sleep researcher who has studied the interaction of sleep, memory, and dreams.  Dr. Stickgold has dedicated his life to understanding the relationship between sleep and learning.  He is the author of When Brains Dream, released by W.W. Norton in January 2021. 

Judith Owens, MD, MPH

Dr. Judith Owens is Co-Director of the Pediatric Sleep Program at Boston Children’s Hospital in Boston, Massachusetts, and a Professor of Neurology at Harvard Medical School.  She is an internationally recognized authority on pediatric sleep and an author of over 175 original research and review articles in peer-reviewed journals, chapters, and books on the topic.

Charles F. Reynolds, III, MD

Dr. Reynolds is Distinguished Professor of Psychiatry and UPMC Endowed Professor in Geriatric Psychiatry (emeritus) at Pittsburgh.  He serves as Editor in Chief of the American Journal of Geriatric Psychiatry and is a member of the JAMA Psychiatry Editorial Board.  He chaired the Sleep-Wake Disorders Workgroup of the DSM-5 Taskforce and was a member of the IOM sleep-wake disorders study panel.  The recipient of the Herbert Pardes Humanitarian Award from the Brain and Behavior Research Foundation for his work in India, Dr. Reynolds is an elected member of the Association of American Physicians and an alumnus of both the Yale University School of Medicine and the University of Virginia, where he read moral philosophy, epistemology, and the theology of Paul Tillich and Karl Barth.  

CME's will be applied for through the Maine Medical Education Trust.