Overview
As a clinical and developmental psychologist, my mission is to promote infant and early childhood mental health. My scientific focus is to better understand the intergenerational transmission of risk for mental health problems. In the CAN lab we document how exposures the pregnant person had throughout the lifespan can impact the pregnancy, preterm birth risk, newborn neurodevelopment, and susceptibility for psychopathology. Emotion dysregulation is a transdiagnostic, early-emerging marker of risk for a wide range of psychiatric outcomes, including ADHD, mood, and bipolar disorder. We study how emotion dysregulation – a modifiable intervention target – emerges early in development to inform preventive intervention efforts that begin prenatally and in the first year of life. Pregnant people with emotion dysregulation are also susceptible to a wide range of health risk behaviors, including substance use. Another line of research involves understanding how prenatal substance exposure, in combination with associated environmental exposures, affects neurodevelopment and mental health outcomes in early childhood. The overarching goal of my research is to leverage this science to prevent intergenerational transmission of mental health problems.
I am Associate Professor in Psychiatry, and adjunct Associate Professor of Pediatrics at Duke University. Before coming to Duke, I was Associate Professor in the Department of Psychology, and adjunct Associate Professor in the Departments of Obstetrics & Gynecology and Pediatrics at the University of Utah. I received my PhD in Clinical Psychology at the University of Oregon and completed my clinical internship in Early Childhood Mental Health at the Children’s Hospital of Philadelphia. I have been continuously funded by the NIH since 2011 when I was awarded an F32 postdoctoral fellowship to examine the biological embedding of early life stress in children with prenatal substance exposure at Brown University. My work has been covered in media outlets like NPR and I have received multiple national and international early career research awards.
Current Appointments & Affiliations
Recent Publications
Neurobehavioral Profiles in Low-Risk Infants: Associations With Prenatal Maternal Biobehavior and Birth Characteristics.
Journal Article Dev Psychobiol · November 2025 Newborn neurobehavior is a critical indicator of early childhood development. Therefore, we examined perinatal predictors of neurobehavioral patterns among healthy, medically low-risk infants. Participants include 385 mothers and infants. Self-reported emo ... Full text Link to item CiteA multimethod longitudinal examination of the effects of childhood maltreatment on birth experiences and postpartum mental health.
Journal Article Dev Psychopathol · August 4, 2025 The perinatal period has gained increasing attention from developmental psychopathologists; however, experiences during birth have been minimally examined using this framework. The current study aimed to evaluate longitudinal associations between childhood ... Full text Link to item CiteFrom prenatal maternal anxiety and respiratory sinus arrhythmia to toddler internalizing problems: The role of infant negative affectivity.
Journal Article Dev Psychopathol · August 2025 Prenatal maternal anxiety is considered a risk factor for the development of child internalizing problems. However, little is known about potential mechanisms that account for these associations. The current study examined whether prenatal maternal anxiety ... Full text Link to item CiteRecent Grants
Duke-NCCU Interdisciplinary Postdoctoral Training Program in Child Psychiatric and Neurodevelopmental Conditions Program (DN-IPT)
Inst. Training Prgm or CMEPreceptor · Awarded by National Institute of Mental Health · 2024 - 2029Duke University Psychiatry Physician-Scientist Residency Training Program
Inst. Training Prgm or CMEMentor · Awarded by National Institute of Mental Health · 2024 - 2029Prenatal maternal obesity and neurodevelopment: The mediating role of the microbiome and metabolome
ResearchCo Investigator · Awarded by National Institute of Mental Health · 2024 - 2029View All Grants