Kiley Pickett, OT

Sr. Certified Pediatric Sleep Consultant & Pediatric Occupational Therapist

Huntsville, AL

Hi, I’m Kiley Pickett, a Certified Pediatric Sleep Coach with Tiny Transitions and a proud Senior Coach on our expert team. With over 9 years of experience as a Pediatric Occupational Therapist and more than 5 years devoted to pediatric sleep, I specialize in helping toddlers and school-aged children (ages 1–10) overcome sleep challenges and build healthy habits that last a lifetime.

Whether you’re struggling with bedtime battles, frequent night wakings, nap refusals, or early rising, I’m here to guide you with practical tools and unwavering support. I work with neurotypical toddlers as well as children with ADHD, ADD, Sensory Processing Disorder (SPD), autism, anxiety, and other developmental differences—because sleep is essential for every child, and there’s no such thing as a one-size-fits-all approach.

My dual background in occupational therapy and sleep coaching allows me to take a truly holistic approach. I design custom sleep plans that consider your child’s sensory profile, emotional regulation, and daily routines—not just what happens at bedtime. From helping a spirited 2-year-old settle down at night to supporting a 7-year-old with ADHD who’s never slept through the night, I bring deep clinical insight and heartfelt compassion to every family I serve.

At Tiny Transitions, we believe that sleep is not a luxury it’s a necessity. And I’m here to make sure your family gets the rest you all deserve.

Ready to take the next step? Let’s work together to bring peace, predictability, and rest back to your home.

🌟 Kiley’s Client Testimonials 🌟

Christina, 3 Years Old, Lakewood Ranch, FL

Tiny transitions was life changing! My almost 4 year old listens better, is more cooperative, and sleeps all on her own! Kylie solved all of our problems and we are a happier family because of her.

Katerina, 4 Months Old, Denver, CO

When our baby was born we started with another popular sleep training/ scheduling program…it served us well for that time but there were many practices and parts of it we didn’t like or didn’t fit for us. When the 4 month sleep regression came we knew we needed to make a change. When we came to TT we were skeptical and worried it wouldn’t be a good fit for us from our prior experience. Kiley was amazing…so knowledgeable, caring, passionate, and attentive. She listened to our concerns, strengths and needs, and made a plan tailored individually to both us and our baby. Within 2 nights our baby went from 1feeding a night and MANY binky assists…to no feedings and putting himself back asleep and sleeping the entire night! A week later after starting sleep we started naps. He refused to nap at my parents house when he was there every day while I was at work. He went from refusing to take longer than a 20 minute nap to taking 1.5-2 hour naps at a time. And best of all NO BINKY AT ALL ANY MORE at ANY point of the day ….all of this within about 9 days. If you have doubts and reservations, I can promise you we did too, and they were all pretty much gone after the first night. I’d recommend TT and our consultant Kiley to literally anyone. Worth every penny, maybe the best investment we’ve made as parents so far! Thank you Kiley for your knowledge and support and SLEEP!

Greg, 2.5 Months Old, Chicago, IL

Before we started working with Kiley we were sleeping in our living room and our daughter sleeping in the room next door praying we would not have to hold her to sleep all night long. We would take turns and shifts watching each other sleep while we held her to sleep. Not only were we barely sleeping overnight, but we were holding her 6 to 8 hours a day for naps in a dark room with a sound machine on rocking her. Our baby was overtired and having tummy issues

Once we started with Kiley she advised us to find a pediatrician that would take our concerns more seriously. She made a unique plan for our daughter that aligned with our parenting values and went into great detail about it. After just a couple nights we were already sleeping in our own bed again as a couple and our daughter was sleeping in her own room, in crib, and only waking up once for feeding.

By the end of the 3 weeks our two-and-a-half-month-old is a happier, more rested baby who is even taking two hour naps in her crib sometimes during the day! We are able to enjoy our time with her so much more now and are so grateful to Kiley for all that we learned. It was truly a game changer and we couldn’t be happier!!!

Lucas, 2.5 Years Old, Charlotte, NC

We hired Kiley to help with our 2 1/2 year son. She is a great consultant and she even help us with issues on his behavior before we addressed the sleeping issues. Before we were spending hours for him to get to sleep and now he goes to sleep in less than half hour and sleeps all night. We are very happy and grateful to her! 😊

Zach, 2 Years Old, Huntsville, AL

We were skeptical that anyone would be able to help out 2 year old daughter get over her anxiety. We had long nights of having stay by our daughters side, and also battled mid-night panics. Kiley stepped in and quickly changed things around. Amazingly within a 7-10 days our daughter was happily going to bed with no issues. A kiss goodnight and that was it! Also no overnight tantrums. I really love Kiley’s approach that’s centered around trust with your child and subtle progressions. If you’re having trouble with your child, you owe it to yourself to get things back on course with Tiny Transitions.

Jenni, 3 Years Old, Kansas City, MO

Kiley was absolutely amazing! We went from our 3 year old waking up 8-10x per night to him sleeping through night. She also help address behavior issues and he is such a happier kiddo! It is life changing and we are actually enjoying our son now!!!! Best thing we ever did!!!

Elise, 22 Months and 3 Years Old, Commack, NY

Kiley is an angel, a life saver, a miracle worker, the list goes on and on. She helped us with both of our daughters (22 months and 3). Our 3 year old was struggling with sleeping in her room and had ended up in our bed for about 5 months. Our younger daughter had been waking up between 4:45-5:15 am for about 2 months.

Between the late nights and no alone time with my 3 year old and then the early mornings, mom was losing her mind and overly tired every day. I knew about sleeping training and coaches but had only thought about it for babies. Finding Kiley literally changed my life.

My 3 year old is now back in her own bed and my younger daughter is waking up around 6:30 am! Kiley took time to listen to our typical routines and learn about each girl. From there she developed individual plans and almost instantly we started to see positive changes in both the sleep patterns but also overall behaviors.

We really couldn’t be more pleased with how caring and thorough Kiley was. She was always checking in and there to answer any situation. I’m so grateful for her help and we’re a happy and less sleep deprived household because of Kiley. She was truly a pleasure to work with! Highly recommend.

Rebecca, 5 Months Old, Churchville, PA

Kiley is truly the BEST!! I was really nervous to try the typical sleep training methods that are out there; I needed a more personalized plan for my son to be more comfortable that it would really work. He is a preemie (born at 32 weeks) and needed more soothing from the beginning. However, it got really bad when he turned 5 months old; he was waking up 7-10 times a night for two months straight. We had to hold him and rock him back to sleep almost every time except when we fed him twice a night hoping that he would fall back to sleep. We had anxiety every night when we put him to bed because he would randomly start crying. We couldn’t predict what time because it was different every night. He was then very fussy during the day because of the lack of sleep. It was difficult to have anyone babysit him. Luckily, we had our parents who tried to help out a bit because we as parents were getting more and more exhausted each day trying to balance everything including our jobs.

The plan that Kiley put together worked really well; our son slept through the night the 3rd night (without any night feedings) and has been sleeping through the night ever since. It has been a month so far! He is also taking really good naps through the day and he is a much happier baby!!! His personality is really showing now; he smiles a lot and is more interactive! Everyone who visits us now is so impressed. He is even meeting his physical milestones. His physical therapist is very happy with the progress that he has shown recently. He used to be so fussy and did not like doing tummy time, just wanted to be held around all the time.

I would recommend Kiley to anyone! She was so dedicated and really wanted the best for us!! She was extremely patient, kind, thoughtful, and reliable. She responded at all times! She put up with me through my emotional days when I thought the plan for his naps wasn’t working as fast as I wanted it to (my son went from sleeping 30 mins naps to almost 2-hour naps as soon as I thought the plan wasn’t working!). She felt like a friend and a therapist throughout this process, I couldn’t have asked for a better sleep consultant!! I could write pages in this review. We are just so thankful that Kiley helped us get our lives back! We are so glad we did the sleep training. My son is teething early (3 teeth all at once) and is still managing to sleep through the night. His sleep routine is still consistent

Kerri, 3 Years Old, Belmont, MA

Kiley has helped improve our 3 year old sleep tremendously and we aren’t even done working with her yet for our private sleep coaching.

Our 3 year old just got derailed with sleep, over the course of 1.5 years or so, her sleep habits became terrible. She wasn’t sleeping when we traveled, and at home she wasn’t going to sleep easily, waking multiple times per night and waking up for the day so early. We were so lost and confused on how to fix all of this. We tried dropping her naps to get her to go to bed easier at night but then she’d be barely able to stay awake by 2-4pm each day. We finally realized we had no idea what to do and needed help.

Our daughter was struggling with behavioral issues on top of sleep challenges so after doing a lot of research, I felt Kiley was the perfect fit for us because of his sleep and OT background. I felt we needed the behavioral help too which is precisely what Kiley helped us work on first.

The behaviors are still a work in progress but they’d improved quite a bit and I’ve learned so much from Kiley! As for sleep, we aren’t even done working with Kiley yet and our daughter is now going to bed at night, sleeping through the night almost every single night and she’s waking up when her ok to wake clock turns green at there time we have set it for, it’s a miracle! Words cannot describe how much we needed this help and I cannot thank Kiley enough. Highly recommend Kiley for anyone with a child struggling with behavioral and sleep issues.

Chelsea, 3 Years Old, Ankeny, IA

We can’t thank Kiley enough for her patience, supportive yet honest, very helpful advice, and successful strategies! I thought we were doomed but she was optimistic and encouraging from the very beginning. With her coaching and support, our three year old daughter is now able to fall asleep independently and sleep through the night. Before Kiley, our three year old daughter was not able to fall asleep independently and was waking several times a night screaming until one of us caved and slept on her bedroom floor. We became very sleep deprived and led somewhat chaotic lives. Kiley helped us create a schedule and gave us realistic sleep strategies which not only helped our daughter sleep soundly through the night but also helped her to love sleep. I only wish that I had reached out to her sooner so that I could have avoided many sleepless nights. I truly cannot recommend her enough! She is wonderful and truly cares about you achieving success.

Chelsea

Matthew, 14 month old Twins, Altadena, CA

We suffered for about a year with our twins waking up probably 5 out of 7 nights a week. We were so frustrated and helpless and really losing our minds. Within just one meeting with Kiley she diagnosed our major problems and the twins began sleeping through the night. Of course we had a couple troubled nights but Kiley instructed us how to handle it. Just having a solid plan for those nights in place as opposed to frantically googling at 2am was so helpful. I’m happy to report that this service is worth every penny. Sleep is SO ESSENTIAL for your little ones and also you. Only wish I did it a year ago.

Liam, 2 Years Old, Neptune City, NJ

Kiley was a great resource for my wife and I, with her help we were able to go from unwanted co-sleeping to having our 2 year old stay in her bed virtually all night.

Putdowns used to take anywhere from 20 minutes to an hour and a half, and now I am happy to say it has been cut down to 5 to 10 minutes.

Kaley, 1 1/2 Years Old, Jersey City, NJ

We worked with Kiley to help our 1.5 year old son learn how to independently sleep. Before working with her, he was dependent on a bottle, rocking and parent soothing to sleep. Bedtime was getting later every night and his wake ups were very early. At our hardest point we were up with him multiple times a night-feeding, soothing or even having him in our bed. We were exhausted, anxious and both really started to fill with resentment.

At the end of our time with Kiley our son is a completely different kid when it comes to sleep. He goes down awake every night, putting himself to sleep without any tears and sleeps through the night until we come and get him up in the morning.

He will even look at us and say “night night” when it is getting close to his bedtime or say “crib crib” as soon as we finish reading. He looks forward to going to bed and is sleeping like a champion.

The plan Kiley created for us, along with her support along the way truly taught our son how to sleep independently and although it was took work and being really diligent, it made all the difference for him and in turn has made all the difference for us.

We put him down with ease, and have faith that he will sleep through the night. It’s taken so much anxiety out of our lives and brought back so much of the joy of being a parent that we were missing in our exhaustion.
I wish we had worked with Kiley sooner but am so glad that we decided to take a chance and let someone lead us. I feel like our son now has the sleep skills that he needed and that it will impact him as his sleep needs continue to change with age.

Chelsea, 3 Years Old, Westfield, IN

After dealing with early wake ups for basically my 3yo’s entire life, and months of middle of the night visits, we were struggling and finally pulled the trigger on a sleep consultant. We worked with Kiley and really appreciated that she approached our situation holistically. She started with behavioral approaches, then we dove into sleep issues. At first I wasn’t sure how big of an improvement we would see with some of the “tiny” changes, but after 3 weeks we have been so pleased with the progress! We went from 9.5hr overnight sleep with 2-4 nighttime visits to 10.5hr overnight sleep with 0 nighttime visits and an appropriate wake time – huge success! My husband and I agree: the financial investment isn’t in the 3 weeks you get a consultant; it’s in the blessed nightly rest that makes you a better parent in the day, hopefully for years to come!

Rebecca, 2 Years Old, Churchville, PA

I had the most amazing experience possible working with Kiley! I cannot recommend enough. I worked with Tiny Transitions when my son was 4 months old (such an amazing experience) and I used the same techniques when my daughter was 4 months old, so I thought I had everything figured out! My daughter turned 2 and then all of a sudden was waking up 4-5 times a night and nothing seemed to be working. Kiley helped us in our extreme time of need and approached our issue from all angles. She was always making herself available and made sure to reach out every morning to ask how it went. She was so kind, lovely, understanding, and reassuring. We could not have done it without her! And we cannot say enough good things. Definitely book with Kiley!!

Ainsley, 14 months old, Colchester, CT

Our decision to use Tiny Transitions was life changing! We had a great experience working with Kiley!! Our daughter was the worst sleeper, and Kiley not only helped her sleep better, but she also helped us understand her needs and why certain things were happening. I’d highly recommend Tiny Transitions!

Ryan, 9 month old, Glen Mills, PA

Our family was in need of a change so everyone could get quality sleep. With Kiley’s guidance, we were able to go from exclusively bed sharing with our 9 month old daughter to her sleeping in her crib for naps and overnight! The biggest relief was for my wife since our daughter was nursing all night, but now she wakes to eat one time at night and we even get the occasional no wake up! It’s really amazing how far she’s come as a high touch sensitive baby. That being said, it was really important to us that we transition our daughter as gently as possible. Kiley was amazing at tailoring her approach to fit our family’s needs. Kiley’s support and advice throughout the entire process was invaluable as we navigated a big change. We would highly recommend her to anyone needing help making sense of all the information about infant sleep! My daughter, wife, and I are all better rested, happy, and still have a strong bond in just a few weeks of working with Kiley!

Jason, 20 months old, Chicago, IL

My wife and I needed help with our 20 month old boy. He was going to sleep way too late and waking up way too late in the morning. After looking for many months online and asking family and friends everyone had different suggestions. None of them actually worked. Then one day looking for help I found Tiny Transitions Sleep Consulting. One of the reasons why liked the company was I saw that there was a chance for a free call to talk and discuss our problem. We did that with Kiley. She explained to us that she could definitely move his internal clock back to where it needs to be and fix the problem. Now it was time to discuss with my wife if we had the money it costs for the consulting. We felt like we had done as much as we could do for our little boy our own and none if it worked. We came to the conclusion that we needed to spend the money to help our family. We loved how Kiley made us feel as parents. So we said we will do this but only with Kiley. So we chose to move forward. Kiley was amazing. From the very beginning she spoke to us in very clear understanding instruction. She gave us a plan of action and asked us to trust her. We did trust her. Kiley broke down wake up. nap. and sleep times. Each day moving them slowly for best results. It worked. It took a little time but it worked. We are over the moon with the changes she guided us with. He is now sleeping at a normal time of night. Waking at a normal time in morning and napping at a normal time as well. So if you’re wondering was it worth all that money. Let me explain yes it is and I will tell you why. As I am writing this review tonight. I am looking at the monitor next to me and I see my little boy sleeping in his crib peacefully at a normal time of the night. For our family that is priceless. I can’t thank Kiley and Tiny Transitions enough. I very highly recommend Kiley and Tiny Transitions for all your sleep needs.

Leiah A. 4 year old, Manvel, TX

Kiley was absolutely incredible to work with! Our 4 year old daughter had been waking multiple times a night and bedtime was taking over an hour. Within 3 days Kiley had our bedroom routine down to 30 minutes, and within 4-5 days our girl was sleeping through the night! While some aspects were challenging, we were within our comfort zones the whole time. Kiley worked with us for a few weeks to streamline the routine even further. Our daughter is happier, we are happier, and everyone is rested! Kiley was very responsive and consistent in her messaging and recommendations. If you’re on the fence, sign up! You won’t regret it.

Holly Sauers, 3.5 Years Old, St. Louis, MO

We worked with Kiley Pickett and she was the best thing to happen to our family! My son was diagnosed with autism and had always been a terrible sleeper. My sister is a PA for a pediatric office and got right to work googling someone who could help us (after 3.5 years of no sleep). She found Tiny Transitions and I’m so glad she did!

Kiley listened, supported, asked questions, and really got to know my son enough to know exactly what to do and how to help us.

Before, my husband and I barely slept and it took us hours to get our son down, only to be jolted awake not long after by his cries.

We are SLEEPING and THRIVING! Thank you so much and I cannot recommend her enough!

Rachel, 2 year old, Somerville, MA

I’ve had 2 calls with Kiley. She’s very professional, punctual and easy to talk to. My first call was in regards to my 2 year old. She gave me a simple set of directions to follow and within a few days my 2 year old finally slept through the night and has now for a month straight! I’m currently following a routine for my 4 year old and I’m confident it’ll work. Tiny transitions make training easy because you can schedule times that are convenient for you. If needed, rescheduling a call is simple too.

Haley, 9 Months, Charleston, SC

Kiley has been helping me for about two weeks now. I couldn’t get my daughter out of my bed. Ferber failed, rocking and feeding to sleep failed. We thought she would be in there forever! Within just the first few days, my daughter was putting herself to sleep by herself for the first time in her life. I can now put her in her crib for nap or bedtime and she will fall asleep within 5 minutes. It has been so hard and Kiley gives you her support every second of the day! She is judgment-free and creates your sleep plan based on your comfort levels, and what your baby can handle. I always feel heard when I come to her with any and all concerns.

Kiley gave me and my husband our lives back, we are completely and fully rested. Our relationship has already improved, just in two weeks! If you’re going to choose someone, CHOOSE KILEY!!!

Emily, 4 Months, Huntsville, AL

I am a part of the Facebook group Rested as a Mother. It has been such a huge help! Kylie gives great tips and provides great opportunities for conversations with her as well as other moms. We hired Kylie to help us sleep train our son when he turned 5 months. Best decision ever!!!! The 4-month sleep regression hit hard. My boy was waking every 2 hours and was so difficult to get down. He wanted to nurse for every nap and only napped 30-40 minutes. After a few days working with Kylie, he started putting himself to bed and only waking once a night to eat! Now he puts himself to sleep for naps and is on a schedule of taking 3 1 hour naps! My husband and I feel so much better with more rest. I’m able to be a better wife and mother and I finally feel like I’m back to myself. We are so grateful to Kylie!

Katie, 6 Months Old, Birmingham, AL

Kiley has been so helpful so far! Our boy is only 6 weeks but she’s helped us find a good routine and starting to create good sleep habits for when our baby is older. I’ve learned so much already from her!

Amanda, 6 Months Old, New Orleans, LA

Our sleep consultant Kiley has literally changed our life as a mommy and daddy. Our little girl was 6 months and still waking between 1-2 times a night. After our second night of working with Kiley, she had our baby sleeping through the night! Hands down the best money ever spent – we will forever be thankful for Kiley’s help getting our family well rested!

PROUDLY FEATURED IN

Newsweek - Tiny Transitions - Baby Sleep Coaches
Fatherly - Tiny Transitions - Baby Sleep Coaches
Forbes - Tiny Transitions Courtney Zentz
MBG - Tiny Transitions - Baby Sleep Coaches
Romper - Tiny Transitions - Baby Sleep Coaches