Andrada Delia Neacsiu

I am a licensed clinical psychologist and an Associate Professor in the Department of Psychiatry and Behavioral Sciences at Duke University School of Medicine, with an appointment in the Center for Cognitive Neuroscience. I also direct Duke’s Brain Stimulation Research Center (BSRC). Most of my career has focused on emotion dysregulation across diagnoses, and my work in misophonia draws on that background. My hope is that it lets me contribute to collaborations in several complementary ways.

One is treatment development. I trained under Marsha Linehan and am an international trainer in Dialectical Behavior Therapy. I have experience adapting evidence-based skills interventions for new populations, writing therapist manuals and client workbooks, training clinicians, and testing treatments in randomized trials. In misophonia, this includes integrating skills such as cognitive restructuring with exposure to trigger sounds.

Another is neuromodulation. Through the BSRC I can offer expertise in designing and delivering rTMS and other forms of brain stimulation. This includes individualized, fMRI-guided targeting, E-field-informed dosing, sham-controlled and blinded designs, and pairing stimulation with psychological interventions so that the two may work together.

I also bring experience with neuroimaging and psychophysiology. This includes using fMRI to identify regulation-related targets and to examine treatment mechanisms, along with EEG. I have experience measuring physiological reactivity and recovery, such as skin conductance and HF-HRV, during experimental tasks built around misophonic and aversive sounds.

Finally, I have experience running clinical research at scale, including multi-site trials, deep phenotyping of clinical samples, ecological momentary assessment, and large screening and recruitment pipelines. Of course, I am also eager to learn from collaborators whose expertise, such as audiology, sensory processing, or computational modeling, could take this work in directions I could not reach alone.