top of page
Book now to schedule your free consultation:


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.
Search


ROCD vs Relationship Anxiety: Intrusive Doubt or Worry?
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly If you’re stuck in “ROCD vs relationship anxiety” questions, you’re not alone. Both can involve fear, doubt, and a strong urge to figure it out right now. The difference is that ROCD (relationship OCD) runs on intrusive doubt plus compulsive attempts to get certainty, and those attempts usually make the doubts louder over time. In this article, you’ll learn: The short answer: what makes ROCD different from relationship an

Ryan Burns
Feb 2311 min read


Y-BOCS Scoring: Interpret Your OCD Severity (0-40)
Last reviewed: 04/23/2026 Reviewed by: Dr. Kiesa Kelly Y-BOCS scores help describe OCD severity. In other words, Y-BOCS scoring is meant to be a guide, not a verdict about you. What matters most is how OCD is functioning in real life, how much it is limiting your week, and what kind of treatment support is needed next.[1][4] If you felt a rush of fear or shame after seeing a higher number, that reaction makes sense. Many people read a score and immediately start wondering wha

Kiesa Kelly
Feb 2310 min read


High-Masking Autism in Women: Signs Misread as Anxiety
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly High masking autism in women can get mislabeled as “just anxiety,” especially when someone is bright, capable, and socially skilled on the surface. If you’ve done years of coping strategies, therapy, and self-help but still feel like daily life takes an outsized amount of effort, it may be worth looking at what’s driving the stress, not just how the stress shows up. In this article, you’ll learn: Why anxiety treatment som

Kiesa Kelly
Feb 2311 min read


Adult ADHD Assessment in Tennessee: What to Expect
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly If you’re considering an adult ADHD assessment, you’re probably looking for two things: clarity (is it ADHD, something else, or both?) and a plan you can actually use. The process can feel intimidating, especially if you’ve been dismissed before or you’re worried you’ll “mess up” the appointment. In this article, you’ll learn: What usually happens in an ADHD assessment for adults, in what order What a comprehensive evalua

Ryan Burns
Feb 239 min read


PHQ-9 Scoring Chart: What Your 0–27 Score Means
Your PHQ-9 score is between 0 and 27. Here's what each depression severity range means, what to do next, and how to decide whether screening is enough or it's time to see a clinician.

Kiesa Kelly
Feb 1913 min read


AuDHD Traits in Adults: Why Screeners Can Feel Contradictory
If you’re searching audhd traits adults and your screener results feel “all over the place,” you’re not alone. When autism and ADHD overlap, traits can pull in opposite directions, and masking, anxiety, or burnout can skew self-tests. This guide explains why contradictions happen, what patterns matter most, and how to use screeners to plan a calm next step.

Kiesa Kelly
Feb 198 min read


Autistic Masking vs Social Anxiety vs People-Pleasing
Last reviewed: 06/12/2026 Reviewed by: Dr. Kiesa Kelly If you have ever googled autistic masking vs social anxiety and still felt unsure, you are not alone. In adults, all three patterns can look like the same "polite, put-together" person on the outside, while the inside story is totally different. In this article, you'll learn: Why masking, social anxiety, and people-pleasing get mixed up The "driver underneath" each pattern Practical clues you can use in real life How the

Ryan Burns
Feb 1910 min read


ADHD Burnout vs Depression: How to Tell the Difference
When you’re running on fumes, it’s hard to tell what’s happening. This guide breaks down burnout vs depression symptoms and executive dysfunction, with practical clues and quick screeners to help you choose the next right step.

Ryan Burns
Feb 198 min read


ADHD or Anxiety in Adults? Why Screeners Confuse the Two
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
Feb 199 min read


ASRS Scoring: What Your Adult ADHD Screener Score Means
Confused by ASRS v1.1 scoring? This guide explains what a positive Part A screen means (and doesn’t), what can inflate scores, and smart next steps if you want an ADHD evaluation.

Kiesa Kelly
Feb 1911 min read


Is My ADHD Medication Not Working in Perimenopause?
Perimenopause ADHD can make focus, sleep, and emotional regulation feel shakier, even if your prescription hasn’t changed. Here’s what to track and ask at your next visit.

Kiesa Kelly
Feb 1211 min read


Perimenopause Sensory Overload: When Everything Feels 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 1213 min read


AuDHD in Perimenopause: When ADHD & Autism Pull Apart
AuDHD perimenopause can feel like being pulled in opposite directions: the ADHD side craves novelty and stimulation while the autistic side needs predictability and reduced input. Learn why midlife hormone shifts can intensify executive dysfunction, sensory overload, masking, and burnout, plus what to consider if you’re seeking an AuDHD assessment in Tennessee.

Kiesa Kelly
Feb 1210 min read


ADHD and Menopause: Why Symptoms Can Spike Even If You 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 1212 min read


Autism Sleep Problems: Sensory, Anxiety & Circadian Causes
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 109 min read


Late-Diagnosed Autism in Women Over 40: Signs Often Missed
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 410 min read


AuDHD Symptoms in Women: Burnout, Shutdowns & Hidden Traits
AuDHD traits in women can look like “high functioning” success on the outside while the inside feels like burnout, shutdowns, or relentless perfectionism. Learn how to tell the difference from depression, why demand avoidance can be protective, and how assessment can turn patterns into practical supports.

Kiesa Kelly
Feb 411 min read


Late-Diagnosed ADHD in Women: Why It's Missed for Decades
Late diagnosed ADHD in women is often missed because symptoms can look like anxiety, perfectionism, or “just being overwhelmed.” Learn how masking works, why midlife can trigger burnout, and what a quality adult evaluation looks for.

Kiesa Kelly
Feb 314 min read


ADHD vs Menopause Brain Fog: A Midlife Differential Checklist
ADHD vs menopause brain fog can feel identical in midlife. Use this differential checklist to spot timeline clues, hormone-linked patterns, and common look-alikes, so you can choose a next step without self-blame.

Kiesa Kelly
Feb 39 min read


From Solo to Group Practice: What Changes When You Start Hiring
Thinking about your first hire? This guide on how to start a group practice counseling team covers when to add clinicians, what systems to build, and how to protect culture and quality as you grow.

Ryan Burns
Feb 212 min read
bottom of page
