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News and Research
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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Insomnia
Stay informed about insomnia and related conditions with news and updates from clinical experts. Scientific information, evidence-based treatments, and more.


Sleep Inertia: Why Waking Up Feels Impossible (and How to Ease It)
That heavy, foggy feeling right after the alarm has a name: sleep inertia. Here is what it is, why waking up feels so hard, and evidence-based ways to make mornings easier, plus when grogginess is worth getting checked.

Kiesa Kelly
1 hour ago12 min read


Non-Restorative Sleep: When You Sleep Enough Hours but Still Wake Exhausted
Non-restorative sleep is when you sleep a full night but still wake up exhausted — here is why it happens, what it looks like, and when to see a clinician.

ScienceWorks Team
5 days ago11 min read


CBT-I for Shift Work and Rotating Schedules: How to Sleep When Your Hours Keep Changing
If your work hours keep changing, a fixed bedtime is not something you skipped -- it is something your job will not let you have. Here is how CBT-I, the first-line insomnia treatment, is adapted for night shifts and rotating schedules.

Kiesa Kelly
5 days ago12 min read


Revenge Bedtime Procrastination: Why You Stay Up Late on Purpose
You're not lying awake unable to sleep — you could sleep, but you delay it to reclaim personal time. Here's why revenge bedtime procrastination happens, the ADHD link, and calm steps that help.

ScienceWorks Team
7 days ago14 min read


How Online CBT-I Works for Insomnia | ScienceWorks
CBT-I is the first-line treatment for chronic insomnia. Here's how an online, telehealth CBT-I program actually works, week by week, and what the evidence says.

ScienceWorks Team
Jul 59 min read


Nightmare Disorder in Adults: How IRT Rewrites Dreams
Recurring nightmares in adults can become nightmare disorder. Learn how imagery rehearsal therapy (IRT) rewrites bad dreams and what telehealth treatment involves.

Kiesa Kelly
Jun 2311 min read


Sleep-Maintenance Insomnia: Waking at 3 a.m. | ScienceWorks
Waking at 3 a.m. and unable to fall back asleep? Learn the real sleep science behind sleep-maintenance insomnia — and the evidence-based fix, CBT-I.

Kiesa Kelly
Jun 2311 min read


The CBT-I 20-Minute Rule: Get Out of Bed to Sleep
It feels backwards, but lying awake trains your brain that the bed is for being awake. The CBT-I 20-minute rule explained: why it works and exactly how to do it.

Ryan Burns
Jun 2112 min read


Autism and Adult Sleep: Why It's Hard | ScienceWorks
Adults with autism often struggle to sleep because of a delayed, weak melatonin signal, a shifted body clock, and sensory sensitivity — not a lack of discipline. Here is the biology, what actually helps, and when to seek an evaluation.

Kiesa Kelly
Jun 1513 min read


Behavioral Sleep Assessment: What to Expect | ScienceWorks
A behavioral sleep assessment uses an interview and sleep diary, not an overnight lab. Learn what to expect, who it's for, and how telehealth works.

Ryan Burns
Jun 1310 min read


Sleep Restriction Therapy: How It Works for Insomnia
Sleep restriction therapy is a core, evidence-based CBT-I tool for chronic insomnia: it matches time in bed to actual sleep, then widens the window as sleep improves. Learn how it works, who it fits, and who should avoid it.

Kiesa Kelly
Jun 1212 min read


CBT-I in Tennessee: How Insomnia Therapy Actually Works
Chronic insomnia is treatable — and CBT-I (not medication) is the first-line therapy. What stimulus control, sleep restriction, and cognitive restructuring actually look like, what paradoxical insomnia is, and when sleep problems need a medical workup instead.

Kiesa Kelly
Apr 2513 min read


Trauma and Insomnia: Why Sleep Sticks and What Helps
Last reviewed: 04/12/2026 Reviewed by: Dr. Kiesa Kelly When people look for trauma and insomnia treatment, they are often trying to solve a sleep problem that does not feel like “just insomnia.” You may mostly notice trouble falling asleep, waking up on edge, vivid nightmares, or a strong urge to stay alert at night. What is easy to miss is that sleep can become one of the main places trauma keeps showing up, even long after the original event is over.[1] Not every sleep prob

Ryan Burns
Apr 1210 min read


Telehealth Therapy in Tennessee: Matched to Your Needs
Last reviewed: 04/09/2026 Reviewed by: Dr. Kiesa Kelly If you are looking for telehealth therapy options in Tennessee, you may already know you want help but still feel unsure about what kind of help actually fits. That is often the real decision point. Video sessions are only the format. What matters more is whether the care is matched to the problem that is actually keeping you stuck, whether that is OCD, trauma, insomnia, or a more layered picture with overlap.[1][8] The g

Kiesa Kelly
Apr 99 min read


Measurement-Based Care in Therapy: What It Looks Like
Last reviewed: 04/09/2026 Reviewed by: Dr. Kiesa Kelly If you have ever left a therapy session wondering, "Is this actually helping?" measurement based care in therapy is meant to answer that question in a practical, human way. Instead of relying only on memory or a vague sense of how things are going, you and your therapist use a few simple markers to notice change, spot stuck points, and make better treatment decisions together.[1][3][4] When we use this approach in our spe

Ryan Burns
Apr 99 min read


CBT-I Near Me: How to Tell If a Provider Is a Real Fit
Last reviewed: 04/06/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for cbti near me, insomnia therapy near me, or a cbt i therapist near me, you are probably not looking for one more sleep tip. You are trying to figure out whether a provider can actually help you sleep better in a way that feels structured, realistic, and safe. CBT-I is the first-line treatment recommended in major clinical guidelines for chronic insomnia in adults, but “offers CBT-I” can mean very di

Kiesa Kelly
Apr 79 min read


CBT-I for Insomnia: What It Is, How It Works, Who It's For
CBT-I is the short, structured, evidence-based first-line treatment for chronic insomnia. Here is how the five core components work, who CBT-I is for, and when to try something else first.

Kiesa Kelly
Apr 711 min read


Circadian Rhythm vs Insomnia: What Is Actually Going On?
Last reviewed: 04/05/2026 Reviewed by: Dr. Kiesa Kelly If you are exhausted, wide awake at night, and barely functional in the morning, it is easy to call the whole thing insomnia. But circadian rhythm problems and insomnia are not the same thing, even though they often overlap. A delayed body clock means your brain is ready for sleep later than you want. Insomnia means sleep itself has become hard to start, maintain, or trust, even when you have the opportunity to sleep. Tel

Kiesa Kelly
Apr 58 min read


What Is CBT-I? What Therapy for Insomnia Includes
Last reviewed: 04/02/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for cbti, you’re probably not looking for one more generic sleep tip. You want to know whether cognitive behavioral therapy for insomnia is a real treatment, what it actually includes, and whether it can help when your sleep feels stuck. CBT-I is considered first-line treatment for chronic insomnia in adults because it targets the habits, schedules, and thought patterns that keep insomnia going over ti

Ryan Burns
Apr 29 min read


Circadian Rhythm vs Insomnia: How to Tell Them Apart
Last reviewed: 04/02/2026 Reviewed by: Dr. Kiesa Kelly If your circadian rhythm is running late, you may feel wide awake at 11 p.m. and miserable at 7 a.m. That can look like insomnia from the outside, but it is not always the same problem. A delayed body clock is about when sleep wants to happen. Insomnia is about trouble sleeping even when the timing and opportunity are there.[1-5] Not all trouble falling asleep means your body has “forgotten how to sleep.” Sometimes the is

Ryan Burns
Apr 29 min read
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