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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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ROCD vs Relationship Anxiety: How to Tell the Difference (and Why Reassurance Backfires)
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 a

Ryan Burns
Feb 238 min read


Online ERP Therapy: What Telehealth ERP Actually Looks Like (Between Sessions, Too)
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly Online ERP therapy can feel mysterious at first, especially if you’ve only heard “exposure therapy” described as something extreme. In real life, telehealth ERP is usually structured, collaborative, and designed to help you practice in the places OCD actually shows up, including at home. In this article, you’ll learn: The biggest misconception about ERP (and why “exposure” isn’t flooding) What an ERP session looks like on

Ryan Burns
Feb 238 min read


Y-BOCS Scoring: What Your OCD Severity Score Means (and How Treatment Planning Works)
Last reviewed: 03/18/2026 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 237 min read


AuDHD Evaluation: When You Suspect Both Autism + ADHD (What a Good Assessment Covers)
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly If you’re looking for an AuDHD evaluation , you might recognize the pattern: parts of you feel unmistakably ADHD, and other parts feel unmistakably autistic. You might crave novelty and stimulation, yet get overwhelmed quickly. You might look “high-functioning” on paper, yet feel exhausted behind the scenes. The informal term AuDHD is often used to describe this overlap of autism and ADHD. It isn’t a separate diagnosis,

Kiesa Kelly
Feb 237 min read


What Does My AQ-10 Score Mean? AQ-10 Scoring for Adults
Last reviewed: 03/12/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for AQ-10 scoring because you just took the adult autism screener and got a number you can’t stop thinking about, you’re not alone. The AQ-10 is quick by design, but your experience is not. In this article, you’ll learn: What each AQ-10 score range usually suggests (and what it doesn’t) The most common AQ-10 cutoff and why “borderline” is a real category Why masking, anxiety, trauma, and ADHD overlap

Kiesa Kelly
Feb 238 min read


High masking autism in women: Signs That Get Misread as Anxiety (and What Evaluation Looks Like)
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 239 min read


Private ADHD Assessment: What You’re Paying For (and How to Tell if It’s Worth It)
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for a private ADHD assessment, you’ve probably seen wildly different prices and timelines. Some options look like a full psychological evaluation, while others are closer to a screening visit. The price often reflects what the evaluation does (or doesn’t) include, and “fast” doesn’t always mean “clear.” High-quality adult assessment is built on careful clinical interviewing, multiple data points, and a

Ryan Burns
Feb 236 min read


Adult ADHD Assessment in Tennessee: What to Expect (Timeline, Report, and Next Steps)
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 evalu

Ryan Burns
Feb 238 min read


ASRS Score Interpretation: What Your Results May Mean
Last reviewed: 03/15/2026 Reviewed by: Dr. Kiesa Kelly If you’re here because you took an ADHD screener and started searching for ASRS score interpretation, you’re in the right place. The ASRS can be a useful first step, but it’s easy to overinterpret a number when what you really want is clarity. In this article, you’ll learn: What the ASRS is designed to screen for and what it cannot diagnose How to interpret common ASRS result patterns in plain English The most common scor

Ryan Burns
Feb 236 min read


Mental Health Screeners 101: How to Use Mental Health Screening Tools (and What to Do Next)
Mental health screening tools can help you spot patterns, name what you’re experiencing, and decide on next steps. Here’s how to use screeners wisely.

Kiesa Kelly
Feb 209 min read


Depression, Anxiety, and ADHD: The Overlap That Screeners Can’t Untangle Alone
The adhd depression anxiety overlap can make it hard to tell what’s “primary” without a fuller picture. Here’s how overlap happens, how screeners help, and what to do next.

Ryan Burns
Feb 207 min read


PHQ-9 Depression Screening: PHQ-9 scoring and how to interpret it safely
Your PHQ-9 score can feel scary or confusing. This guide explains phq-9 score meaning, severity ranges, and how to use your results safely, including what to do if you checked the self-harm item and how to get support in Tennessee.

Kiesa Kelly
Feb 197 min read


“Pure O” and OCD Mental Compulsions: Why Screeners Can Miss It
“Pure O” can look like “just thoughts,” but OCD mental compulsions often happen silently: rumination, mental checking, reviewing, and reassurance seeking. Here’s why screeners can miss it and what to do next.

Ryan Burns
Feb 198 min read


Do People With OCD Talk to Themselves? Intrusive Thoughts vs Mental Compulsions.
Intrusive thoughts vs OCD can feel confusing: almost everyone has unwanted “what if?” thoughts, but OCD makes them stick and turns relief-seeking into compulsions.

Ryan Burns
Feb 197 min read


Y-BOCS Scoring: What Your Y-BOCS Score Means, Severity Ranges, and Next Steps
Confused by your y-bocs scoring results? This guide explains what the Y-BOCS measures, how severity ranges are used, and supportive next steps if OCD may be in the picture.

Kiesa Kelly
Feb 197 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 197 min read


Late-Identified Autism in Adults: What Autism Screening Scores Mean
Autism screening results can raise big questions, especially for people who’ve masked for years. Learn what AQ-10, RAADS-14, and CAT-Q scores can and can’t tell you, plus gentle next steps toward evaluation, accommodations, and support.

Ryan Burns
Feb 196 min read


Autistic Burnout Symptoms: Signs, Causes, and Supports That Actually Help
Autistic burnout symptoms can look like exhaustion, skill loss, and sensory overload after long-term stress. Learn signs, causes, and supports that actually help.

Ryan Burns
Feb 196 min read


Autistic Masking vs Social Anxiety vs People-Pleasing
Last reviewed: 02/19/2026 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 198 min read


What Is the CAT-Q? A Plain-English Guide to Autistic Masking and Camouflaging
Last reviewed: 03/18/2026 Reviewed by: Dr. Kiesa Kelly The CAT-Q is about autistic masking and camouflaging: the ways you may hide, rehearse, compensate, or push through social situations so you seem more “fine” on the outside than you feel on the inside. If you’ve searched cat-q autism, you’re probably trying to name an experience that feels effortful, scripted, and hard to explain. This page explains that pattern in plain English, and it can support self-understanding, but

Ryan Burns
Feb 199 min read
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