Alexandra Moussa-Tooks, PhD

Alexandra
Moussa-Tooks
PhD
Assistant Professor of Psychiatry and Behavioral Sciences
Division of Psychology

Dr. Alexandra Moussa-Tooks is a licensed clinical psychologist and Assistant Professor in the Department of Psychiatry & Behavioral Sciences at VUMC. She received a dual PhD in Clinical Psychology and Neuroscience from Indiana University Bloomington (2021) and completed her pre-doctoral internship (2021) and postdoctoral fellowship (2022) in Psychotic Disorders at the VUMC Department of Psychiatry & Behavioral Sciences.

Vanderbilt Psychiatric Hospital
1601 23rd Avenue South
Nashville
Tennessee
37212

Dr. Moussa-Tooks’ research program is focused on identifying cognitive mechanisms of psychotic experiences through behavioral, self-report, and neuroimaging approaches. Her work to date has focused on neural contributions of the cerebellum to cognitive deficits observed in psychotic disorders and associated risk factors for abnormal cerebellar development, including early life insults and endogenous cannabinoid dysregulation. 

Dr. Moussa-Tooks is currently building a research program aimed at understanding how cerebellar processes, namely psychomotor functions like motor learning, contribute to disorganized behavior in psychosis. She hopes to translate her research into effective treatments and optimized assessment tools for disorganized behavior.

Representative Publications

* indicates mentee

Clarifying the Role of the Cerebellum in Psychosis

Moussa-Tooks, A., Huang, A., Rogers, B., Sheffield, J., Heckers, S., & Woodward, N. Cognitive Ability and Cerebellar Volume in Psychosis. Biological Psychiatry. doi: 10.1016/j.biopsych.2022.03.013; PMID:

Moussa-Tooks, A., Kim, D., *Bartolomeo, L., Purcell, J., Bolbecker, A., Newman, S., O’Donnell, B., & Hetrick, W. (2019) Impaired effective connectivity in schizophrenia during continuation of cerebellar-mediated sensorimotor synchronization. Schizophrenia Bulletin, 45(3), 531-541. doi:10.1093/schbul/sby064; PMID: 29800417

Moussa-Tooks, A., Hetrick, W., Green, J.  (2020) Differential Effects of Two Early Life Stress Paradigms on Cerebellar-Dependent Delay Eyeblink Conditioning. Neurobiology of Stress, 13. doi:10.1016/j.ynstr.2020.100242; PMID: 33344698

Moussa-Tooks, A., *Larson, E., *Gimeno, A., Leishman, E., *Bartolomeo, L., Bradshaw, H., O’Donnell, B., Mackie, K., Hetrick, W. (2020) Long-Term Aberrations to Cerebellar Endocannabinoids Induced by Early Life Stress. Scientific Reports, 10(1). doi:10.1038/s41598-020-64075-4; PMID: 32350298

Assessment and Modulation of Psychomotor and Motor Integration Processes

Lundin, N., Kim, D. J., Tullar, R., Moussa-Tooks, A., Kent, J., Newman, S., Purcell, J., Bolbecker, A., O’Donnell, B., Hetrick W. Cerebellar Activation Deficits During Delay Eyeblink Conditioning in Schizophrenia. Schizophrenia Bulletin Open, 2(1). doi:10.1093/schizbullopen/sgab040; PMID: 34541537

*Mitroi, J., *Burroughs, L., Moussa-Tooks, A., Bolbecker, A., Lundin, N., O’Donnell, B., & Hetrick, W. (2020) Dose and Polarity Independent Modulation of Cerebellar Timing Using Transcranial Direct Current Stimulation. The Cerebellum. doi:10.1007/s12311-020-01114-w; PMID: 32036562

Kim, D. J., Moussa-Tooks, A., Bolbecker, A., Apthorp, D., Newman, S., O’Donnell, B., Hetrick W. (2020) Cerebellar-Cortical Dysconnectivity in Resting-State Associated with Sensorimotor Tasks in Schizophrenia. Human Brain Mapping. doi:10.1002/hbm.25002; PMID: 32250008

Assessment and Constructs 

Moussa-Tooks, A., Bailey, A., Bolbecker, A., Viken, R., O’Donnell, B., & Hetrick, W. (2020) Bifactor Structure of the Schizotypal Personality Questionnaire Across the Schizotypy Spectrum. Journal of Personality Disorders, 34, 466-491. doi:10.1521/pedi_2020_34_466; PMID: 32039649

Wolny, J., Moussa-Tooks, A., Bailey, A., & Hetrick, W. Race and Self-Reported Paranoia: Increased Item Endorsement on Subscales of the SPQ. Schizophrenia Research: Psychotic Disorders and Race (Special Issue). doi:10.1016/j.schres.2021.11.034; PMID: 34895794

Bailey, A., Moussa-Tooks, A., Klein, S., Sponheim, S., & Hetrick, W. (2021) The Sensory Gating Inventory-Brief. Schizophrenia Bulletin Open, 2(1). doi:10.1093/schizbullopen/sgab019; PMID: 34414372

*Chen, J., Purcell, J., Moussa-Tooks, A., & Hetrick. W. (2020) Psychometric Evaluation of the Pinocchio Illusion Questionnaire. Attention, Perception, & Psychophysics. doi:10.3758/s13414-020-02011-4; PMID: 32185641

alexandra.moussa-tooks@vumc.org

Dr. Moussa-Tooks specializes in individual psychotherapy for individuals with psychosis, using cognitive-behavioral therapy (CBTp) and Metacognitive approaches. She also serves as a member of the NAVIGATE first episode team, which offers coordinated specialty care to individuals within the first two years of a psychotic disorder. For more information on services, visit https://www.vumc.org/early-psychosis-program/services 

Other areas of interest for Dr. Moussa-Tooks include treating sleep disorders like insomnia with behavioral and cognitive approaches (CBT for insomnia), inpatient assessment and brief interventions, and culturally-informed adaptations to existing psychotherapy interventions.
 

Amy Gorniak

Amy
Gorniak

Graduate School: University of Houston-Clear Lake

Internship: Vanderbilt University Medical Center Child and Adolescent Psychiatry

Clinical Interests: Assessment, differential diagnosis of complex cases, systems level assessment and intervention, dissemination science, social-emotional learning skills, universal screening, trauma-informed treatment, attachment relationships, and evidence-based interventions for children, youth, and families. 

Elizabeth McRae

Elizabeth
McRae

Graduate School: 

Internship: Vanderbilt University Medical Center Autism and Lifespan Development Track

Clinical Interests: 

Christina Osborne, MSSW, LCSW

Christina
Osborne
MSSW, LCSW
Professional Staff
Psychiatry and Behavioral Sciences
Division of Child and Adolescent Psychiatry
christina.osborne@vumc.org

Mary Hutchinson, MSW, LCSW

Mary
Hutchinson
MSW, LCSW
Professional Staff
Psychiatry and Behavioral Sciences
Division of Child and Adolescent Psychiatry
mary.e.hutchinson@vumc.org

Suzanne N. Avery, PhD

Suzanne
Avery
PhD
Research Assistant Professor of Psychiatry and Behavioral Sciences
Division of General Psychiatry

My research is focused on identifying how changes to the hippocampal network contribute to progression of psychopathology and cognitive impairments in psychotic disorders. I use systems and cognitive neuroscience approaches to study the brain and brain networks, as well as multiple levels of analysis, including neuroimaging (structural, activation, connectivity) and behavioral assessment (memory, attention, eye movement).

Currently, we are conducting a study to examine how hippocampal microstructural integrity is altered in schizophrenia and how these alterations relate to individual differences in memory and functional outcomes. Through this work we aim to identify new ways to track and predict the progression of memory impairments in psychosis and their impact on clinical symptoms and function in daily life.

Representative Publications

Avery, Suzanne N, Kristan Armstrong, Maureen McHugo, Simon Vandekar, Jennifer Urbano Blackford, Neil D Woodward, and Stephan Heckers. “Relational Memory in the Early Stage of Psychosis: A 2-Year Follow-up Study.” Schizophrenia Bulletin 47, no. 1 (July 13, 2020): 75–86. https://doi.org/10.1093/schbul/sbaa081.

Avery, Suzanne N., Baxter P. Rogers, Maureen McHugo, Kristan Armstrong, Jennifer Urbano Blackford, Simon N. Vandekar, Neil D. Woodward, and Stephan Heckers. “Hippocampal Network Dysfunction in Early Psychosis: A 2-Year Longitudinal Study.” Biological Psychiatry Global Open Science 3, no. 4 (October 26, 2022): 979–89. https://doi.org/10.1016/j.bpsgos.2022.10.002.

Avery, Suzanne N., Maureen McHugo, Kristan Armstrong, Jennifer U. Blackford, Simon Vandekar, Neil D. Woodward, and Stephan Heckers. “Habituation during Encoding: A New Approach to the Evaluation of Memory Deficits in Schizophrenia.” Schizophrenia Research 223 (September 2020): 179–85. https://doi.org/10.1016/j.schres.2020.07.007.

Avery, Suzanne N., Maureen McHugo, Kristan Armstrong, Jennifer Urbano Blackford, Neil D. Woodward, and Stephan Heckers. “Stable Habituation Deficits in the Early Stage of Psychosis: A 2-Year Follow-up Study.” Translational Psychiatry 11, no. 1 (2021): 20. https://doi.org/10.1038/s41398-020-01167-9.

Avery, Suzanne N., Anna S. Huang, Julia M. Sheffield, Baxter P. Rogers, Simon Vandekar, Alan Anticevic, and Neil D. Woodward. “Development of Thalamocortical Structural Connectivity in Typically Developing and Psychosis Spectrum Youths.” Biological Psychiatry: Cognitive Neuroscience and Neuroimaging 7, no. 8 (October 14, 2022): 782–92. https://doi.org/10.1016/j.bpsc.2021.09.009.

suzanne.avery@vumc.org

Amanda Bitting, PhD

Amanda
Bitting
PhD
Assistant Professor of Psychiatry and Behavioral Sciences
Division of Psychology
amanda.r.bitting@vumc.org

Dr. Amanda Bitting joined the faculty in 2020. Dr. Bitting obtained her bachelor’s degree in psychology from Eastern Kentucky University. She went on to complete her Ph.D. in Clinical Psychology from Sam Houston State University where she gained experience and training with criminal forensic evaluations. She completed a predoctoral internship at Utah State Hospital and a postdoctoral fellowship in forensic psychology at Minnesota State-Operated Forensic Services. Dr. Bitting’s clinical experience and interests are primarily criminal forensic evaluations, including criminal competencies, mental state at the time of the alleged offense, and violence/sexual risk assessment. Her research interests include the psychometric properties of forensic assessment instruments and bias in forensic decision-making.

Emeka Oputa, M.D.

Emeka
Oputa
M.D.
Assistant Clinical Professor of Psychiatry and Behavioral Sciences
Geriatric Fellowship VA Site Director
Tennessee Valley Health Systems (VA) Psychiatry

Hometown: Nigeria
College: Windsor University School of Medicine
Medical School: Windsor University School of Medicine, West Indies
Residency: Columbia University College of Physicians - Harlem Hospital Center

Psychiatry Interests: Neurocognitive Disorders, Neuromodulation, Geriatric Mood Disorders, Palliative Care

Jean Salcedo, M.D.

Jean
M
Salcedo
MD

Hometown: Manila, Philippines
College: The College of William and Mary
Medical School: American University of Antigua College of Medicine
Residency: East Tennessee State University

Psychiatry Interests: