The Children's Behavioral Sleep Disorders Clinic specializes in diagnosing and treating children with behavioral sleep disorders. The clinic is directed by Brett Kuhn, Ph.D., the state's only psychologist certified in behavioral sleep medicine who dedicates his entire practice to children and adolescents. Behavioral Sleep Medicine (BSM) is the branch of health psychology and clinical sleep medicine which studies the relationship between psychological, learning and conditioning factors and the development and maintenance of sleep disorders. BSM is dedicated to the prevention, assessment and treatment of sleep disorders through the application of established principles of behavior change.
The Children's Behavioral Sleep Disorders Clinic uses both research-based and novel treatment protocols, some of which were developed by our own staff. These may include behavioral and/or environmental changes such as altering the bedroom environment, modifying the sleep/wake schedule, altering parent/child interactions, treating daytime behavioral problems or mental health problems that may be affecting sleep. A specific treatment program will be adapted to each child's particular sleep problem and family situation. With patient adherence, most childhood sleep disturbances can be resolved quickly through outpatient care and without medication.
The Behavioral Sleep Disorders Clinic treats a variety of conditions, including:
Sanberg, S. A., Kuhn, B. R., & Kennedy, A. E. (in press). Bedtime Fading with Response Cost for Treatment of Sleep Disturbances in Children with Autism Spectrum Disorder.
Floress, M. T., Kuhn, B. R., Bernas, R.S., & Dandurand, M. (2016). Nightmare Prevalence, Distress, and Anxiety among Young Children. Dreaming 26(4): 280-292.
Kuhn, B. R. (2014). Practical Strategies for Managing Behavioral Sleep Problems in Young Children. Sleep Medicine Clinics, 9 (2), 181-197.
Allen, K. D., Kuhn, B. R., DeHaai, K. A., & Wallace, D. P. (2013). Evaluation of a behavioral treatment package to reduce sleep problems in children with Angelman Syndrome. Research in Developmental Disabilities, 34(1), 676-686.
Kuhn, B. R., & Wagner, S. (2013). Insomnia in Children. In C. A. Kushida (Ed.), The Encyclopedia of Sleep (Vol. 2, pp. 319-325). Waltham, MA: Academic Press.
Kuhn, B. R., & Roane, B. M. (2012). Pediatric Insomnia and Behavioral Interventions. In T. J. Barkoukis, J. K. Matheson, R. Ferber & K. Doghramji (Eds.), Therapy in Sleep Medicine (pp. 448-456). Philadelphia: W. B. Saunders Company.
Ievers-Landis, C. E., & Kuhn, B. R. (2012). Introduction to the special issue on pediatric behavioral sleep medicine. Children's Health Care, 41(3), 183-189.
Perlis, M., Aloia, M., & Kuhn, B. R. (Eds.) (2011). Behavioral Treatments for Sleep Disorders: A Comprehensive Primer of Behavioral Sleep Medicine Treatment Protocols. New York: Academic Press.
Kuhn, B. R. (2011). The excuse-me drill for bedtime problems: A behavioral protocol to promote independent sleep initiation skills and reduce bedtime problems in young children. In M. Perlis, M. Aloia & B. R. Kuhn (Eds.), Behavioral Treatments for Sleep Disorders: A Comprehensive Primer of Behavioral Sleep Medicine Treatment Protocols (pp. 299-309). Boston: Elsevier / Academic Press.
Kuhn, B. R. (2011). BSM protocols for pediatric sleep disorders: Introduction. In M. Perlis, M. Aloia & B. R. Kuhn (Eds.), Behavioral Treatments for Sleep Disorders: A Comprehensive Primer of Behavioral Sleep Medicine Treatment Protocols (pp. 241-243). Boston: Elsevier / Academic Press.
Berger, A. M., Kuhn, B. R., Farr, L. A., Lynch, J. C., Agrawal, S., Chamberlain, J., et al. (2009). Behavioral therapy intervention trial to improve sleep quality and cancer-related fatigue. Psycho-Oncology, 18(6), 634-646.
Berger, A. M., Kuhn, B. R., Farr, L. A., Von Essen, S. G., Chamberlain, J., Lynch, J. C., et al. (2009). One-year outcomes of a behavioral therapy intervention trial on sleep quality and cancer-related fatigue. J Clin Oncol, 27(35), 6033-6040.
Chorney, D. B., Detweiler, M. F., Morris, T. L., & Kuhn, B. R. (2008). The Interplay of Sleep Disturbance, Anxiety, and Depression in Children. Journal of Pediatric Psychology, 33(4), 339-348.
Kuhn, B. R. & Floress, M.T. (2008). Nonpharmacological interventions for sleep disorders in children. In A. Ivanenko (Ed.), Sleep and Psychiatric Disorders in Children and Adolescents (pp. 261-278). New York: Informa Healthcare.
Kuhn, B. R. (2007). Sleep Disorders. In M. Hersen & J. C. Thomas (Eds.), Handbook of Clinical Interviewing with Children. (pp. 420-447). New York: Sage Publications.
Berger, A. M., Farr, L. A., Kuhn, B. R., Fischer, P., & Agrawal, S. (2007) Values of Sleep/Wake, Activity/Rest, Circadian Rhythms, and Fatigue Prior to Adjuvant Chemotherapy. Journal of Pain and Symptom Management, 33 (4), 398-409.
Mindell, J.A., Kuhn, B.R., Lewin, D.S., Meltzer, L.J., Sadeh, A., & Owens, J.A. (2006). Behavioral Treatment of Bedtime Problems and Nightwakings in Infants and Young Children: An American Academy of Sleep Medicine Review. Sleep, 29 (10), 1263-1276.
Schnoes, C.J., Kuhn, B.R., Workman, E., & Ellis, C. (2006). Pediatric Prescribing Practices of Clonidine and Other Psychopharmacological Agents for Pediatric Sleep Disturbances. Clinical Pediatrics, 45, 229-238.
Burke, R. V., Kuhn, B. R., & Peterson, J. L. (2004). A "storybook" ending to children's bedtime problems: The use of a rewarding social story to reduce bedtime resistance and frequent night-waking. Journal of Pediatric Psychology, 29, 389-396.
Kuhn, B. R., & Elliott, A. J. (2003). Treatment efficacy in behavioral pediatric sleep medicine. Journal of Psychosomatic Research, 54, 587-597.
Berger, A. M., VonEssen, S., Kuhn, B. R., Piper, B. F., Agrawal, S., Lynch, J. C., Higginbotham, P. (2003). Adherence, sleep, and fatigue outcomes after adjuvant breast cancer chemotherapy: results of a feasibility intervention study. Oncology Nursing Forum, 30, 513-522.
Kuhn, B. R., & Elliott, A. J. (2003). Efficacy of behavioral interventions for pediatric sleep disturbance. In M. L. Perlis & K. L. Lichstein (Eds.), Treating Sleep Disorders: Principles and Practice of Behavioral Sleep Medicine (pp.415-451). New York: Wiley & Sons.
Berger, A. M., VonEssen, S., Kuhn, B. R., Piper, B. F., Farr, L., Agrawal, S., Lynch, J. L., & Higginbotham, P. (2002). Feasibility of a sleep intervention during adjuvant breast cancer chemotherapy. Oncology Nursing Forum, 29, 1431-1441.
D'Ambrosio, C., & Kuhn, B. R. (2002). Pediatric Sleep Medicine. In T. J. Bowman (Ed.), Review of sleep medicine (pp. 302-333). Woborn, MA: Butterworth Heinemann.
Kuhn, B. R. (2001). Behavioral treatment of sleep disorders: Pediatric Parasomnias. Sleep Review, 2, 29-32.
Kuhn, B. R., & Weidinger, D. (2000). Interventions for infant and toddler sleep disturbance: A review. Child & Family Behavior Therapy, 22 (2), 33-50.
Kuhn, B. R., Mayfield, J. A., & Kuhn, R. H. (1999). Clinical assessment of children’s sleep disturbance. Journal of Counseling and Development, 77, 359-368.
Gimpel, G. A., Warzak, W. J., Kuhn, B. R., & Walburn, J. N. (1998). Clinical Perspectives in Primary Nocturnal Enuresis. Clinical Pediatrics, 37, 23-30.