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Cognitive Behavioral Sleep Medicine Program

The Cognitive Behavioral Sleep Medicine Program at the Stanford Sleep Medicine Center offers a comprehensive evaluation of sleep problems and brief, evidence-based, non-drug treatments for insomnia, hypersomnia, circadian rhythm disorders, nightmares, and PAP adjustment. Treatment emphasizes a collaborative approach using cognitive and behavioral techniques, including mindfulness and acceptance and commitment therapy, to help people fall and stay asleep more easily, feel less sleepy or fatigued during the day, manage misaligned sleep-wake and other circadian patterns, reduce the frequency and severity of nightmares, and adjust to PAP therapy. 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.

This Program Provides

  • Cognitive Behavioral Therapy for Insomnia (CBT-I)
  • Medication tapering and cessation for hypnotic-dependent insomnia
  • Desensitization and relaxation strategies for adjustment to PAP Therapy
  • Augmentation techniques for Circadian Rhythm Disorders and Hypersomnia
  • Imagery Rehearsal Therapy (IRT) for Nightmare Disorder

Clinic Director

Fiona Barwick, PhD, DBSM
Clinical Associate Professor, Psychiatry and Behavioral Sciences - Sleep Medicine

For an appointment, please call:


For more information and resources, please see the Cognitive Behavioral Therapy for Insomnia page at Stanford Health Care.