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


  • Psychology
  • Health Psychology
  • Behavioral Sleep Medicine
  • Acceptance-Based Therapies

Administrative Appointments


  • Director of Sleep & Circadian Health Program, 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)

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.

Stanford Advisees


Graduate and Fellowship Programs


All Publications


  • RESTLESS LEG SYNDROME: DOES IT START WITH A GUT FEELING? Blum, D. J., During, E., Barwick, F., Davidenko, P., Zeitzer, J. M. OXFORD UNIV PRESS INC. 2019
  • Factors associated with fatigue in patients with insomnia. Journal of psychiatric research Kim, S. J., Kim, S., Jeon, S., Leary, E. B., Barwick, F., Mignot, E. 2019; 117: 24–30

    Abstract

    Although fatigue is common in insomnia, the clinical associates of fatigue in patients with insomnia are largely unknown. We aimed to investigate the clinical associates of fatigue in patients with insomnia. Patients visiting the Stanford Sleep Medicine Center completed the Insomnia Severity Index (ISI), Insomnia Symptom Questionnaire (ISQ), the Fatigue Severity Scale (FSS), the Epworth Sleepiness Scale (ESS), and the Patient Health Questionnaire (PHQ-9). Among 6367 patients, 2024 were diagnosed with insomnia (age 43.06 ± 15.19 years; 1110 women and 914 men) according to the ISI and the ISQ. Insomnia patients with severe fatigue (n = 1306) showed higher insomnia symptoms, daytime sleepiness, depression and longer habitual sleep duration than those without severe fatigue (n = 718). Higher insomnia symptoms, daytime sleepiness and depressive symptoms, and longer habitual sleep duration, independently predicted higher fatigue scores. Among insomnia patients with daytime sleepiness (ESS≥10), only habitual sleep duration and depression predicted fatigue scores. The interaction between insomnia severity and daytime sleepiness significantly predicted the severity of fatigue. Depression was a significant mediator between insomnia and fatigue. For 598 insomnia patients undergoing overnight polysomnography (PSG), no significant correlations were found between fatigue and any PSG parameters. The current study suggests that managing insomnia or depression may reduce the fatigue of insomnia patients, whereas arbitrary efforts to prolong sleep duration may worsen their fatigue.

    View details for DOI 10.1016/j.jpsychires.2019.06.021

    View details for PubMedID 31272015

  • Managing Sleep for Optimal Performance, Brain Function, and Mental Health LIFESTYLE PSYCHIATRY Kutscher, S., Barwick, F., Noordsy, D. L. 2019: 261–83
  • 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; 215: 62–69
  • 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