Bio

Bio


Dr. Barwick is a Clinical Assistant Professor in Stanford's Department of Psychiatry and Behavioral Sciences who serves as Director of the Cognitive Behavioral Sleep Medicine Program at the Stanford Sleep Medicine Center.

Dr. Barwick and her team offer comprehensive evaluations of sleep problems and brief, evidence-based, non-drug treatments for insomnia, hypersomnia, circadian rhythm disorders, nightmares, and Positive Airway Pressure (PAP) adjustment. Treatment, provided in individual or group formats, emphasizes a collaborative approach and uses cognitive and behavioral techniques to help people fall and stay asleep more easily, feel less sleepy or fatigued during the day, manage misaligned sleep-wake patterns, and reduce the frequency and severity of nightmares.

Dr. Barwick educates and supervises postdoctoral fellows and resident observers. She presents at regional, national and international conferences. She also collaborates in and conducts ongoing research studies at Stanford and other national and international hospitals and universities. For example, integrated protocols have been developed and are currently being tested for optimizing sleep health in students and treating sleep problems that co-occur with medical conditions such as chronic pain or POTS.

Clinical Focus


  • Cognitive Behavioral Sleep Medicine
  • Health Psychology
  • Psychology

Administrative Appointments


  • Director of Cognitive Behavioral Sleep Medicine Fellowship, Department of Psychiatry & Behavioral Sciences - Division of Sleep Medicine (2015 - Present)

Boards, Advisory Committees, Professional Organizations


  • Membership Committee, Society of Behavioral Sleep Medicine (2018 - Present)
  • Member, American Academy of Sleep Medicine (2015 - Present)
  • Member, American Psychological Association (2014 - Present)
  • Member, Association for Behavioral and Cognitive Therapies (2018 - Present)

Professional Education


  • PhD, Pennsylvania State University, PA (2011)
  • Internship, VA Palo Alto Health Care System, CA (2011)
  • Fellowship, VA James A. Haley, FL (2012)
  • Fellowship, VA Greater Los Angeles Healthcare System, CA (2014)

Research & Scholarship

Current Research and Scholarly Interests


Dr. Fiona Barwick?s research interests focus on expanding sleep education, improving sleep health, and adapting treatments for sleep disorders in populations where developmental, medical, psychiatric and cultural factors intersect.

She and Kevin Lee, MD, a psychiatrist at Stanford?s Counseling and Psychological Services, are currently completing an online survey of Student Sleep Habits and Health that was funded by a Psychiatry Innovation Grantion 2018. Survey results will inform the development of a cognitive-behavioral treatment protocol that will help students address sleep problems and manage sleep health.

She is collaborating with Heather Poupore-King, PhD, at Stanford?s Pain Management Center, to develop an integrated treatment protocol for improving sleep and chronic pain. With the protocol now complete, Dr. Barwick and Dr. King plan to run the six-session group throughout 2019, collecting pre-treatment, post-treatment and follow-up data to analyze outcomes.

She is working with Mitchell Miglis, MD, a Stanford neurologist who specializes in autonomic dysfunction, to adapt and refine circadian techniques and Cognitive Behavioral Therapy for Insomnia (CBT-I) for treating individuals with Postural Orthostatic Tachycardia Syndrome (POTS).

She is collaborating with Yishan Xu, PhD, and Chenyu Li, MD, to develop an integrated ?East-West? protocol combining principles of Cognitive Behavioral Sleep Medicine (CBSM) with Traditional Chinese Medicine (TCM). Online and in-person groups that deliver CBSM to Mandarin speakers just started, and data will be collected during 2019 in collaboration with Chongqing Traditional Chinese Medicine Hospital.

Teaching

Stanford Advisees


Graduate and Fellowship Programs


Publications

All Publications


  • Sleep disorders in patients with postural tachycardia syndrome: A review of the literature and guide for clinicians. Autonomic neuroscience : basic & clinical Miglis, M. G., Barwick, F. 2018

    Abstract

    Fatigue is common in POTS, and patients often report unrefreshing sleep. These symptoms are directly correlated with a reduced quality of life, however the treatment of sleep disorders in this population remains a challenge. This article will review the current literature on the prevalence of sleep disorders in POTS, their association with the underlying pathophysiology of POTS, and current treatment paradigms.

    View details for PubMedID 29773483

  • Commentary: Parent-Reported Behavioral and Psychiatric Problems Mediate the Relationship between Sleep-Disordered Breathing and Cognitive Deficits in School-Aged Children FRONTIERS IN NEUROLOGY Barwick, F., Guilleminault, C. 2017; 8: 597

    View details for PubMedID 29180980

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