Welcome to the Stanford Cognitive Behavioral Sleep Medicine (CBSM) Postdoctoral Fellowship Program
The CBSM program provides 2000 hours of supervised training in cognitive behavioral sleep medicine and circadian biology for full-time postdoctoral fellows during a 12-month period (beginning of September until end of August). The Stanford Clinical Psychology Postdoctoral Fellowship Program is accredited by APA, the Stanford CBSM Program at the Sleep Medicine Center is accredited by the Society of Behavioral Sleep Medicine, and the Stanford Sleep Medicine Fellowship Program is accredited by AASM and ACGME.
Patient Care and Clinical Practice
CBSM fellows are trained in the assessment, diagnosis, and treatment of insomnia, circadian rhythm disorders, parasomnias, sleep apnea, restless legs, and pediatric sleep problems with and without co-occurring psychiatric or medical conditions. Interventions include cognitive-behavioral therapy for insomnia, augmentation techniques for circadian rhythm disorders (melatonin, light therapy), imagery rehearsal therapy for nightmares, and “third-wave” therapies (motivational enhancement, relaxation, mindfulness, acceptance and commitment therapy) for all sleep disorders.
Treatment is conducted in individual, group or family formats. Approach to treatment is flexible, ranging from 2 to 6 sessions with a modal number of 4 sessions. Treatment focuses on evidence-based interventions and outcomes that help people to improve sleep without medication. Additional training opportunities are offered for treating insomnia in primary care patients and in patients with co-occurring cancer, chronic pain, cardiac disease, and psychosis.
CBSM fellows provide an average of 20 hours per week of direct clinical care, including initial evaluations, individual and group therapies, and phone calls. They provide an average of 9 hours per week of indirect clinical services, including session preparation, and note and report writing. Clinical services are provided to adults (ages 18-75+) and some children (ages 7-17).
Stanford Sleep Medicine Center: https://stanfordhealthcare.org/medical-clinics/sleep-medicine-center.html
Scientific Research and Scholarly Inquiry
Although research involvement is not required, it is actively encouraged. The Sleep Medicine center collects information from all patients through the online Alliance Sleep Questionnaire (ASQ), which is stored in a research database. Modified CBT protocols for addressing sleep problems and improving sleep health in university students and for treating insomnia in patients with chronic pain are currently being developed with grant funding. The Sleep Medicine Center is also affiliated with the Stanford Center for Sleep Sciences & Medicine, which oversees multiple ongoing research studies, conducted on site and at affiliated locations. Finally, The Sleep Health and Improvement Program, based in the Psychiatry Department, recruits patients from the Sleep Medicine Center for ongoing studies. A complete description of current research projects can be found below:
Division of Sleep Medicine Research: http://med.stanford.edu/sleepdivision/research.html
Education and Didactics
Postdoctoral fellows are required to participate in four didactic programs over 1.5 days a week for a total of 6-8 hours per week:
- Cognitive Behavioral Sleep Medicine didactics: 2 hours every Friday
- Sleep Medicine didactics: 3-4 hours every Friday (including Grand Rounds)
- Clinical Psychology Professional Development seminar: 1 hour every Tuesday
- Ethics and Legal Issues seminar: 1 hour every Tuesday
The Friday Sleep Medicine didactics offer both breadth and depth of coverage on all sleep-related issues, including sleep health across the lifespan, sleep genetics and physiology, chronobiology, pharmacology, insomnia, parasomnias, sleep deprivation, sleep-related breathing disorders, and sleep in the context of cardiovascular, neurological, and psychiatric disorders.
Consultation and Outreach
Education and training is considered a central aspect of the CBSM program and the Sleep Medicine Center mission. CBSM fellows provide frequent consultation, both formal and informal, to sleep physicians and sleep MD fellows within the Sleep Center. They can have visiting scholars and resident observers join them during individual patient evaluation and treatment, as well as during CBT-I groups. They will also deliver lectures to sleep MD fellows during Friday didactics and to resident and attending physicians in other departments (Chronic Pain, Neurology), give educational talks to Stanford patients during the Sleep Center’s monthly AWAKE meeting, and present on sleep-related topics to Stanford employees and community through the BeWell Health Improvement Program.
Supervision follows a sequential developmental model, with autonomy gradually increasing over the course of the training year. A postdoctoral fellow observes patient care and administrative work for the first month of fellowship, sees patients individually but consults with the supervisor during or after each session for the second through sixth months of fellowship, and consults with supervisor as needed and at end of day for the rest of the fellowship year, although the supervisor always meets new patients. The fellow also co-facilitates a 90-minute CBT-I group with the supervisor throughout the year. A case conference, with up to ten providers, is hosted by Stanford Sleep Medicine Center every month via video to discuss cases, techniques, and research. Finally, postdoctoral fellows participate in shared group supervision with the chronic pain fellows and supervisor once a month and may receive additional supervision depending on training goals. Total supervision meets or exceeds the hours required for California State licensure.
Additional Training Opportunities
PGSP/Stanford Psy.D. Consortium graduate students and Stanford medical students who are interested in cognitive behavioral sleep medicine are encouraged to contact Dr. Barwick to discuss opportunities for getting involved with ongoing research projects and initiatives.
For directions on how to apply, please visit the Department's Postdoctoral Fellowship in Clinical Psychology (Adult Program).
Program Director and Faculty
Fiona Barwick, Ph.D.
Clinical Assistant Professor of Psychiatry and Behavioral Sciences
Director of the Cognitive Behavioral Sleep Medicine Program
Stanford Sleep Medicine Center- Stanford Center for Sleep Sciences and Medicine
Clinical License: CA PSY 94306
T: (650) 721-7558
Dr. Barwick is a licensed clinical psychologist who specializes in treating sleep disorders using a variety of cognitive-behavioral techniques. She sees adults and adolescents who struggle with insomnia, hypersomnia, circadian rhythm disorders, nightmares, and PAP therapy. She trains both Ph.D. and M.D. fellows at the Sleep Medicine Center and gives talks on sleep in other departments such as Neurology and Chronic Pain Management. She enjoys educating individuals within and outside of the Stanford community about sleep and circadian science as well as drug-free approaches for improving sleep and has given talks professionally at national conferences such as the California Sleep Society.
Dr. Barwick earned her Ph.D. in Clinical Psychology from Pennsylvania State University, including internship at the VA Palo Alto Health Care System (2011). She completed a research-clinical postdoctoral fellowship at the James A. Haley VA in Tampa (2012) and a clinical postdoctoral fellowship at the VA Greater Los Angeles Healthcare System (2014). Areas of specialization include sleep, circadian rhythms, neuropsychology, and chronic pain.
Allison Siebern, Ph.D., C.B.S.M.
Adjunct Clinical Faculty in Department of Psychiatry and Behavioral Sciences
Director of Sleep Health Integrative Program, Fayetteville VA Medical Center
T: (910) 488-2120 x 7839
Dr. Siebern is a licensed clinical psychologist in the states of CA and NC and board certified in Behavioral Sleep Medicine by the American Board of Sleep Medicine. She specializes in integrative treatment for sleep disorders using a variety of cognitive behavioral techniques, biofeedback/neurofeedback, use of ‘electroceuticals’, Taiji, Qigong and Chinese Medicine. She is currently the director of the Sleep Health Integrative Program with the VA Medical Center in NC as well as Clinic Director of Sleep Health and Wellness, PLLC, a private practice in downtown Raleigh. Dr. Siebern is adjunct clinical faculty with the Stanford Sleep Center where she completed the sleep fellowship from 2008 to 2010 and stayed on as faculty. She has been treating patients of all ages in the field of sleep medicine for 15 years. She consults with companies on sleep health science, is published in peer-reviewed journals, has given talks at national conferences, and has been interviewed with many media outlets such as Time and Dow Jones. Her research interests include examining complementary and alternative treatments for sleep disorders and different models of care for dissemination of these sleep treatments. Dr. Siebern has a passion for the field of sleep medicine and believes in the importance of training future generations of sleep providers.
Britney Blair, Ph.D., C.B.S.M., A.A.S.E.C.T.
Adjunct Clinical Faculty in Department of Psychiatry and Behavioral Sciences
Director of Clinical Services, The Clinic
Clinical License: CA PSY25832
Dr. Blair is a licensed clinical psychologist and is board certified in both sleep and sexual medicine. Her clinical and research expertise are in behavioral medicine with specializations in sleep and sexual health. She has made numerous presentations, developed workshops, written chapters, and published articles in sleep and sexual medicine. Dr. Blair is a Stanford sleep consultant, staff psychologist at Stanford Hospital and Clinics and is on the adjunct faculty at The Stanford Center for Sleep Sciences and Medicine. Dr. Blair is also the Director of Clinical Services at The Clinic and provides clinical services to individuals and couples in San Francisco, Palo Alto and via telemedicine across the State of California. She provides training, supervision and mentorship to postdoctoral fellows and medical residents training in behavioral medicine. Dr. Blair completed her postdoctoral fellowship at Stanford University Medical School and her pre-doctoral internship at the VA Greater Los Angeles Health Care System. Dr. Blair received her doctoral degree in Clinical Psychology from the PGSP-Stanford Psy.D. Consortium. She received a bachelor’s degree from the University of California at Berkeley.
Current and Past Fellows (2015-2019)
Andrew Guzman, Psy.D.
Dr. Guzman is the 2018-19 Cognitive Behavioral Sleep Fellow at the Stanford Sleep Medicine Center. He has specialized training in the diagnosis and treatment of insomnia, circadian rhythm disorders, parasomnias, nightmares, and adjustment to PAP therapy for sleep apnea. Dr. Guzman received his Psy.D. in Clinical Psychology from La Salle University in Philadelphia, PA, and completed his predoctoral internship at the Corporal Michael J. Crescenz Veteran Affairs Medical Center.
Shantha Gowda, Psy.D.
Dr. Gowda is the 2018-19 Cognitive Behavioral Sleep Fellow at the Stanford Sleep Medicine Center. She has specialized training in the diagnosis and treatment of insomnia, circadian rhythm disorders, parasomnias, nightmares, and adjustment to PAP therapy for sleep apnea. Dr. Gowda received her Psy.D. in Clinical Psychology from Nova Southeastern University in Fort Lauderdale, FL, and completed her predoctoral internship at the VA Southern Nevada Healthcare System in Las Vegas.
- 2017-18: Widyasita Sawyer, PhD
- 2016-17: Sarah Silverman, PsyD
- 2015-16: Daniel Jin Blum, PhD