The Sleep and Circadian Health Fellowship

Sleep Medicine Center | Stanford Health Care – Redwood City

Located in the Stanford Sleep Medicine Center, the Sleep & Circadian Health Program is part of a fast-paced, multidisciplinary academic medical setting. This fellowship program provides advanced training in sleep and circadian assessment, diagnosis and intervention from a health psychology perspective. Training ensures that those who complete the program are eligible to sit for the Diplomate in Behavioral Sleep Medicine (DBSM) exam.

The fellowship is part of the Department of Psychology and Behavioral Sciences APA-accredited Clinical Psychology Postdoctoral Fellowship. The Program at the Sleep Medicine Center is accredited by the Society of Behavioral Sleep Medicine. The Stanford Sleep Medicine Fellowship Program is accredited by AASM and ACGME.

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Application deadline:
January 4, 2021

Application requirements
Stanford Clinical Psychology Fellowship (Adult Program)

Fellowship Director:
Fiona Barwick, Ph.D., D.B.S.M.
fbarwick@stanford.edu

Patient Care

As one of the longest established and best-known centers for sleep disorders in the country, Stanford Sleep Medicine Center sees a high volume of patients with a wide variety of sleep disorders. Fellows are trained in the assessment, diagnosis, and treatment of insomnia, circadian rhythm disorders, parasomnias, sleep apnea, restless legs, and pediatric sleep problems. Interventions include:

  • Cognitive behavioral Therapy for Insomnia
  • Imagery Rehearsal Therapy for nightmares
  • Augmentation techniques for circadian rhythm disorders
  • Mindfulness and acceptance-based therapy
     

Given the high service demands of a busy clinic, treatment follows a stepped-care model. Treatment is conducted in individual and group formats for to adults (ages 18-75+) and some children (ages 7-17). Lifespan developmental issues are actively discussed to help fellows recognize unique challenges in different age groups and cohorts. Length of treatment typically ranges from 2 to 8 sessions, with a modal number of 4 sessions.

Recognizing the importance of individually tailored treatment, this fellowship emphasizes training on case conceptualization and integration of evidence-based interventions to address the complex needs of individuals with medical and psychiatric comorbidities (e.g., chronic pain, PTSD, and traumatic brain injuries). Fellows will also further establish skills in motivational interviewing and utilizing interpersonal processes to facilitate change and promote treatment adherence. As fellows will be working with a diverse patient population, fellows are encouraged to understand patients’ context and culture, adapt treatment flexibly, and actively self-reflect how one’s own worldviews and biases impact treatment. Through this fellowship, fellows will gain expertise addressing sleep concerns while considering medical, psychiatric, interpersonal, and cultural factors.

Postdoctoral fellows, Andrew Guzman, PsyD, and Shantha Gowda, PsyD, answering questions and handing out prizes at the Stanford 15th Annual Wellness Fair

Consultation

Fellows provide formal and informal consultation to sleep MD fellows at the center. Visiting scholars and resident observers sometimes join fellows during individual patient assessment and treatment sessions. Fellows also give 1-2 presentations during Friday didactics and can co-present lectures with Drs. Barwick or Juang to other Stanford departments (Chronic Pain, Neurology). Fellows also have the opportunity to give educational talks and do community outreach for Stanford Sleep Center’s monthly AWAKE meeting, the Pain Science Lecture Series, the Annual Wellness Fairs, and the BeWell Health Improvement Program.