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Science-backed Information for Better Care
ScienceWorks is a modern telepsychology practice offering evidence-based care for: Autism & ADHD, Anxiety & Depression, OCD, Trauma, Insomnia, Kids & Families, and more.
These conditions frequently co-occur, can be difficult to diagnose, and also difficult to treat - often requiring specialist knowledge and direct clinical experience to achieve the best possible outcomes.
That's why research and training are the foundation of our work.
Our goal is sharing our knowledge with our friends, clients, and partners to build a stronger, more informed mental health community.
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Clinician Resources
Stay up to date on the latest ideas, treatments, career advice, and more with ScienceWorks.


EMDR vs CPT: How Two Evidence-Based Trauma Therapies Compare
EMDR and CPT are both evidence-based PTSD treatments. Compare mechanisms, session structure, guideline ratings, and which profile fits which therapy.

Kiesa Kelly
Apr 2213 min read


High PCL-5 Score: What to Do After a PTSD Screener Flags
Last reviewed: 04/12/2026 Reviewed by: Dr. Kiesa Kelly If you are wondering what to do after a high PCL-5 score, you are probably not looking for a technical explanation alone. You are trying to decide whether the result means something serious, whether you should get help soon, and what kind of follow-up would actually be useful. A high trauma screener score can feel alarming, but it is also information you can use. When you understand what the number can and cannot tell you

Kiesa Kelly
Apr 1211 min read


Should You Retake the PCL-5? Tracking PTSD Symptom Change
Last reviewed: 04/12/2026 Reviewed by: Dr. Kiesa Kelly If you are wondering should you retake the PCL-5, the best answer is usually this: retake it when you want to understand a pattern, not when you want one quick number to settle your anxiety. The PCL-5 is a 20-item self-report measure designed to screen for PTSD symptoms and monitor change over time, but it is not a stand-alone diagnosis.[1,2] In this article, you’ll learn: why someone might want to repeat the PCL-5 when r

Ryan Burns
Apr 1210 min read


Can the PCL-5 Be Wrong? Why PTSD Screeners Need Context
Last reviewed: 04/12/2026 Reviewed by: Dr. Kiesa Kelly If you are wondering can the PCL-5 be wrong, you are asking a smart clinical question. The PCL-5 is a useful PTSD screener, but it is still a screener: a structured self-report tool, not a final diagnosis. A high score can point toward meaningful trauma-related symptoms, and a lower score can still miss part of what you are carrying. What matters most is not whether the number “counts.” It is whether the pattern fits your

Ryan Burns
Apr 1210 min read


PCL-5 vs CAPS-5: PTSD Screener vs Diagnostic Interview
Last reviewed: 04/12/2026 Reviewed by: Dr. Kiesa Kelly When people search PCL-5 vs CAPS-5, they are usually not asking a technical measurement question. They are asking something more personal: “Do I need a quick PTSD screener, or do I need a full diagnostic evaluation?” That is an important distinction. The PCL-5 and CAPS-5 are both respected PTSD tools, but they do different jobs. The PCL-5 is a 20-item self-report measure used to screen symptoms, monitor change, and someti

Ryan Burns
Apr 1210 min read


What Is a High PCL-5 Score? Ranges and What They Mean
Last reviewed: 04/12/2026 Reviewed by: Dr. Kiesa Kelly If you are asking what is a high PCL-5 score, the most direct answer is this: a total score in the 31 to 33 range or above is commonly used as a sign that PTSD symptoms may deserve closer evaluation. But a “high” score is not the same thing as a diagnosis. The PCL-5 is a structured screener, not the final word on whether you have PTSD, what is driving your symptoms, or what kind of help would fit best.[1] In this article,

Ryan Burns
Apr 1210 min read


After a PROMIS-29 Screener: What to Do Next
Last reviewed: 03/29/2026 Reviewed by: Dr. Kiesa Kelly If you are trying to decide what to do after a mental health screener, remember what the PROMIS-29 is built to do: it gives you a snapshot of symptoms and daily functioning across several domains, but it does not diagnose you or choose treatment by itself.[1-4][7] The real question is what kind of help fits the part of the profile disrupting life most. In this article, you’ll learn: how to spot the domain that deserves at

Ryan Burns
Mar 297 min read


Using a General Health Screener to Track Mental Health Progress
Last reviewed: 03/29/2026 Reviewed by: Dr. Kiesa Kelly If you are trying to track mental health progress, one of the hardest parts is knowing whether change is actually happening or whether this week is just louder than the last one. A general health screener like PROMIS-29 can help because it looks across mood, anxiety, sleep, fatigue, pain, daily function, and social participation instead of asking you to rely on memory alone. Used well, it can become a practical way to not

Ryan Burns
Mar 298 min read


Mental Health Screener vs Full Evaluation: What PROMIS-29 Tells You
Last reviewed: 03/29/2026 Reviewed by: Dr. Kiesa Kelly When you are trying to answer a mental health screener vs evaluation question, it helps to start with what each tool is built to do. PROMIS-29 is a broad health questionnaire that can show patterns across mood, sleep, pain, fatigue, daily functioning, and social participation. What it cannot do by itself is settle a diagnosis, explain root cause, or replace the kind of careful interpretation that comes from a full assessm

Ryan Burns
Mar 299 min read


PROMIS-29 Social Roles: What the Domain Measures
Last reviewed: 03/29/2026 Reviewed by: Dr. Kiesa Kelly If you are looking at a social roles and activities score on the PROMIS-29, the key question is not “Am I social enough?” It is “How well can I keep up with the parts of life I need or want to participate in?” This domain measures your perceived ability to carry out usual roles and activities, and because it is a positively scored domain, higher scores reflect better function, not more distress.[1][2][3] In this article,

Ryan Burns
Mar 296 min read


Pain Interference vs Pain Intensity: Why PROMIS-29 Asks Both
Last reviewed: 03/29/2026 Reviewed by: Dr. Kiesa Kelly If you have ever looked at the PROMIS-29 and wondered why it asks about both pain interference vs pain intensity, you are not overthinking it. Those two scores are related, but they are not interchangeable. The PROMIS-29 includes a separate 0 to 10 pain intensity item plus a pain interference domain because one question captures how strong pain feels, while the other captures how much that pain is disrupting your life.[2]

Kiesa Kelly
Mar 298 min read


PROMIS-29 Sleep Disturbance: When It’s More Than Bad Sleep
Last reviewed: 03/29/2026 Reviewed by: Dr. Kiesa Kelly A sleep disturbance screener result on the PROMIS-29 can feel frustratingly vague. You know your sleep has been off, but you may not know whether the score points to a passing bad week, an insomnia pattern, a stress response, or a broader mental health picture. That uncertainty is common. The PROMIS sleep domain is designed to flag how sleep has been feeling and functioning over the past week, not to hand you a diagnosis

Kiesa Kelly
Mar 299 min read


What High Depression Scores on a Screener Can Mean
Last reviewed: 03/29/2026 Reviewed by: Dr. Kiesa Kelly If you are looking for depression screener score meaning after a higher PROMIS-29 result, start here: the score describes symptom burden, not a diagnosis. In PROMIS scoring, higher depression T-scores mean more of the thing being measured, and for depression that means more distress than average.[1][2] A high number can still feel alarming. Usually the better next step is to understand what the depression domain measures,

Ryan Burns
Mar 297 min read


High Anxiety Score on the PROMIS-29: What It Means and Doesn't
Last reviewed: 03/29/2026 Reviewed by: Dr. Kiesa Kelly Seeing a high PROMIS anxiety score can feel unsettling, especially if you are trying to figure out whether it points to ordinary stress, an anxiety disorder, or something more complicated. This kind of result is best read as a clue about recent symptom burden, not a pass-fail result or a diagnosis by itself.[2][10] In this article, you’ll learn: what the anxiety domain is actually measuring what a higher score may and may

Ryan Burns
Mar 298 min read


PROMIS-29 Scores Explained: How to Read Each Domain
Last reviewed: 03/29/2026 Reviewed by: Dr. Kiesa Kelly If you are looking for PROMIS-29 scores explained in plain English, the first thing to know is that this measure is not graded like a school test. It is a profile of symptoms and functioning across several domains, designed to help you and your provider see patterns in physical health, emotional distress, pain, sleep, and daily participation rather than sort you into a simple pass or fail category.[1-4] In this article, y

Kiesa Kelly
Mar 2910 min read


PHQ-9 Scoring: Depression, Neurodivergent Burnout, or Both?
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you’ve been staring at a questionnaire total and wondering what it actually means, you’re not alone. In midlife, phq 9 scoring can reflect depression, but it can also capture chronic stress, hormone-driven sleep disruption, or neurodivergent burnout that looks a lot like “low mood.” In this article, you’ll learn: What the PHQ-9 measures (and what it doesn’t) A simple PHQ-9 score interpretation (including common cutoffs

Kiesa Kelly
Feb 277 min read


Why Clinicians Use Multiple Adult ADHD Screening Tools
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you’ve ever taken an online quiz and wondered, “So… do I have ADHD or autism?”, you’re not alone. Adult ADHD screening tools can be helpful, but a single score rarely tells the full story. That’s why quality evaluations typically include more than one questionnaire: clinicians are looking for a consistent pattern across attention, mood, sleep, anxiety, sensory load, and life history. In this article, you’ll learn: Why

Kiesa Kelly
Feb 277 min read


AQ-10 vs RAADS-R vs AQ-50: Which Autism Screener Fits?
Last reviewed: 03/18/2026 Reviewed by: Dr. Kiesa Kelly Different autism screeners answer slightly different questions. If you have found the AQ-10 questionnaire online and are now comparing it with the RAADS-R or AQ-50, this page is here to help you match each screener to its actual purpose. It is not the main scoring guide for any single test, and it is not a substitute for a full evaluation when the real question is bigger than one questionnaire can answer. In this article,

Ryan Burns
Feb 279 min read


ASRS v1.1 Score Interpretation: Part A vs Part B Split Results
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you’ve ever searched “asrs v1 1 score interpretation” and felt more confused afterward, you’re not alone. One of the most common questions we hear is: “Why did I ‘pass’ Part B but not Part A?” The short answer is that the ASRS is not a pass/fail test, and Part A is designed as a quick screener rather than a full diagnostic score. [1–3] In this article, you’ll learn: What Part A and Part B are measuring Why different AD

Kiesa Kelly
Feb 277 min read


ASRS v1.1 Score Interpretation: High Score, But Is It ADHD?
Last reviewed: 03/18/2026 Reviewed by: Dr. Kiesa Kelly A high ASRS score is meaningful. It tells you the pattern deserves attention. But it does not automatically settle the question of ADHD, because several real conditions can create overlapping problems with focus, follow-through, working memory, and mental overload. [1,2] The point is not to dismiss your symptoms or talk you out of what you are noticing. It is to sort the pattern carefully so the next step actually fits wh

Ryan Burns
Feb 278 min read
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