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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.


Circadian Rhythm Disorder vs Insomnia: Are You a Night Owl - or Stuck in a Sleep Disorder Pattern?
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly If you’ve ever Googled circadian rhythm disorder vs insomnia at 3 a.m., you’re not alone. The confusing part is that both can involve “I can’t fall asleep,” both can wreck your mornings, and both can feed sleep anxiety. In this article, you’ll learn: The key difference between a timing problem and a sleep ability problem What delayed sleep phase often looks like (and why weekends can be a clue) What classic insomnia patt

Ryan Burns
2 days ago8 min read


CBT-I in Nashville Tennessee: Evidence-Based Insomnia Treatment That Doesn’t Rely on Willpower
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly Chronic insomnia is brutal because it isn’t just “not sleeping.” It becomes a whole system: you start planning your life around exhaustion, dreading bedtime, and bargaining with yourself at 2:00 a.m. If you’ve searched cbti near me Nashville or wondered whether cognitive behavioral therapy for insomnia Nashville is actually different from generic sleep advice, it is. CBT-I (cognitive behavioral therapy for insomnia) is

Kiesa Kelly
2 days ago8 min read


Symptoms of ADHD in Women: Why it gets missed (and what screeners pick up)
ADHD symptoms in women often get missed because inattentive patterns, masking, and “doing well” outwardly can hide the struggle. Learn what ADHD can look like day-to-day, how burnout and anxiety overlap, and what the ASRS screener can (and can’t) pick up.

Kiesa Kelly
6 days ago7 min read


ADHD or Anxiety? Why Screeners Can Feel Confusing When You’re Stressed: ADHD vs anxiety symptoms adults
ADHD vs anxiety symptoms adults can blur under stress. Learn how worry, shutdown, and sleep loss affect screeners like ASRS and GAD-7—and what to do next.

Ryan Burns
6 days ago7 min read


Adult ADHD Screening: What the ASRS v1.1 Measures (and What It Doesn’t)
The ASRS ADHD screener is a common first step for adults wondering about ADHD. Here’s what it measures, what it can’t confirm, why false positives happen, and what to do next.

Ryan Burns
6 days ago8 min read


PMDD, Perimenopause, and ADHD: How to Spot Pattern Shifts
When pmdd adhd perimenopause overlap, it’s easy to lose trust in your own patterns. This guide shows how to spot timing shifts, track symptoms and impairment, and bring clearer data to your care team.

Kiesa Kelly
Feb 129 min read


ADHD Overwhelm in Midlife: Why Perimenopause Can Shrink Your “Bandwidth”
Perimenopause can feel like your brain’s “bandwidth” suddenly shrank: the same calendar, noise, decisions, and caregiving demands now trigger faster overload. For midlife women with ADHD, that can look like irritability, task paralysis, shutdown, or a sharp rise in shame. This guide explains what ADHD overwhelm is, why perimenopause can amplify it, and realistic, low-shame ways to get unstuck.

Kiesa Kelly
Feb 128 min read


Autism Hot Flashes: Why Temperature Shifts Can Trigger Shutdowns or Meltdowns
Autism hot flashes can feel like more than “being warm.” If your nervous system already runs close to overload, a sudden temperature shift in perimenopause or menopause can flip the switch into shutdowns or meltdowns. This guide explains why, what to watch for, and how to plan supports that actually fit your life.

Kiesa Kelly
Feb 128 min read


Perimenopause Sensory Overload: When Noise, Heat, Clothes, and Touch Become “Too Much”
Perimenopause sensory overload can turn everyday input—noise, heat, seams, and touch - into “too much.” Learn why thresholds shift, how autism/ADHD can intersect, and practical ways to prevent shutdowns and recover faster.

Kiesa Kelly
Feb 1210 min read


ADHD Insomnia in Perimenopause: “Wired but Tired” and the 3AM Brain
Last reviewed: 02/12/2026 Reviewed by: Dr. Kiesa Kelly If you are in perimenopause and dealing with adhd insomnia , you may recognize the same nightly script: you are exhausted at 9PM, wide awake at 11PM, and then your brain turns on like a searchlight at 3AM. This “wired but tired” pattern is not a character flaw. It is often a predictable interaction between hormonal transition, stress physiology, and an ADHD brain that has a harder time downshifting. 💡 Key takeaway: When

Kiesa Kelly
Feb 129 min read


“I Can’t Do One More Thing”: Demand Avoidance ADHD, Perimenopause, and ADHD Burnout
Last reviewed: 02/12/2026 Reviewed by: Dr. Kiesa Kelly If you’re in midlife and living with ADHD, you might recognize the moment when your brain says “I can’t do one more thing,” and your whole system shuts down. Demand avoidance adhd can show up as procrastination, irritability, or a sudden need to escape, even when you care deeply about the task. When perimenopause and long-term overfunctioning enter the mix, the “avoidance” often isn’t about attitude, it’s about nervous sy

Kiesa Kelly
Feb 128 min read


Midlife Autistic Burnout: Why Recovery Looks Different (and What Not to Shame Yourself For)
Midlife autistic burnout can hit hard when decades of masking meet perimenopause, family demands, and shrinking recovery time. Learn how to spot it, what it is not, and what to stop shaming yourself for.

Kiesa Kelly
Feb 129 min read


ADHD Masking Burnout in Midlife: Signs You’re Running on Survival Mode
Last reviewed: 02/12/2026 Reviewed by: Dr. Kiesa Kelly If ADHD masking burnout is hitting you in midlife, it can feel confusing: you’re still “doing the things,” but everything costs more energy than it used to. You may look organized, competent, and fine, while privately living in a constant state of catching up, overthinking, and emotional overload. In this article you’ll learn: What ADHD masking burnout is (and why it’s so common in high-masking women) The most common sig

Kiesa Kelly
Feb 129 min read


Menopause Masking: What It Is (and Why It Looks Like You’re “Fine” Until You’re Not)
Menopause masking is when you look “fine” in midlife while spending a growing amount of energy to hold it together. This guide explains what it means, why the mask slips, signs of burnout, and what support can help.

Kiesa Kelly
Feb 128 min read


ADHD and Menopause: Why Symptoms Can Spike Even If You’ve “Always Coped”
Last reviewed: 02/12/2026 Reviewed by: Dr. Kiesa Kelly If you’ve spent decades “keeping it together,” it can be jarring when ADHD and menopause seem to team up and your symptoms suddenly spike. Tasks that used to be manageable take twice the effort. Brain fog shows up at the worst times. Your patience feels thinner, and your usual systems stop working. This is common, and it’s not a personal failure. The menopause transition can change sleep, mood, and cognition, and many wom

Kiesa Kelly
Feb 1211 min read


ADHD or Perimenopause Brain Fog: A Differential Checklist for Midlife Women
Last reviewed: 02/12/2026 Reviewed by: Dr. Kiesa Kelly If you’re asking yourself, “Is this ADHD or perimenopause ?” you’re in good company. Many midlife women notice new (or suddenly unmanageable) trouble with focus, follow-through, emotional regulation, and memory, and it can be hard to tell what’s driving it. In this article, you’ll learn: Why perimenopause can change attention, memory, sleep, and stress tolerance How ADHD patterns tend to look across a lifetime (especially

Kiesa Kelly
Feb 1210 min read


Autism Sleep Problems: Sensory Sleep Barriers, Anxiety, and Circadian Rhythm Differences
Autism sleep problems are common and often driven by sensory sensitivity, anxiety, and circadian timing differences, not “bad behavior.” Learn what contributes to night waking and bedtime resistance, what to rule out, and supports that can help.

Ryan Burns
Feb 108 min read


ADHD +Insomnia: Delayed Sleep-Wake Phase and the Racing Brain at Night
ADHD insomnia is not just willpower. Learn why ADHD and sleep problems feed each other, how delayed sleep-wake phase and racing thoughts keep you up, what to rule out, what to track, and which supports can help.

Ryan Burns
Feb 108 min read


Late-Identified Autism After 40: Late Diagnosed Autism in Women and Hormonal Transitions
Late diagnosed autism in women is common after 40, especially when perimenopause or menopause changes sleep, sensory tolerance, and recovery time. Learn why needs can feel “unmasked,” how autism differs from ADHD/anxiety/trauma, and what a good adult assessment includes.

Kiesa Kelly
Feb 49 min read


ADHD, Sleep, and the “Brain Won’t Turn Off” Problem in Perimenopause
If your brain won’t turn off at night perimenopause, you are not imagining it. Sleep fragmentation can create ADHD-like symptoms (focus, memory, mood), and ADHD can also make “winding down” harder. This guide helps you sort sleep-only vs ADHD + sleep patterns and know what to track before an assessment.

Kiesa Kelly
Feb 48 min read
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