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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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ADHD vs anxiety in women: How clinicians tell the difference in midlife
Last reviewed: 03/18/2026 Reviewed by: Dr. Kiesa Kelly If you are trying to sort out ADHD vs anxiety in women in midlife, you are not overthinking it. ADHD and anxiety can look very similar in midlife, women are often misread in both directions, and the real question is not just “What label fits?” but “What is driving what?” This is the part a good differential evaluation is meant to clarify. [2,3,5,6] In this article, you’ll learn: What overlap commonly looks like in daily l

Kiesa Kelly
Feb 37 min read


Why ADHD in Women Often Gets Missed Until Midlife
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 37 min read


What an Adult ADHD Assessment Should Include (and What Quick Online Tests Miss)
A quality adult adhd assessment is more than a symptom checklist. This guide explains what a thorough evaluation should include, why quick online tests can mislead, and what to ask before booking (especially for telehealth in Tennessee).

Ryan Burns
Feb 37 min read


ADHD After Menopause: What Changes in Postmenopause vs Perimenopause
f ADHD after menopause feels different than it did in perimenopause, you’re not imagining it. Here’s what can shift in postmenopause (and what often doesn’t), how to tell lifelong ADHD patterns from stage-related brain fog, and what a postmenopause-aware evaluation can look like.

Kiesa Kelly
Feb 38 min read


Menopause “Mood Swings” vs ADHD emotional dysregulation for women: How to Tell What’s Driving It
Midlife emotions can feel intense for many reasons. This guide helps you tell menopause “mood swings” from adhd emotional dysregulation women by tracking timing, triggers, and recovery, and by knowing what a good evaluation will rule in or out.

Kiesa Kelly
Feb 38 min read


Why ADHD Symptoms Can Spike in Perimenopause (Even If You’ve “Always Managed Fine”): ADHD Symptoms in Perimenopause Explained
If you’ve always “managed fine,” a perimenopause shift can make ADHD symptoms perimenopause feel suddenly louder: sleep disruption, mood swings, brain fog, and executive dysfunction. Here’s why coping strategies can stop working, what’s normal, and how to get the right kind of help.

Ryan Burns
Feb 37 min read


ADHD vs Menopause Brain Fog: A Differential Checklist for Midlife Women
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 37 min read


What “Evidence-Based” Looks Like in a Real Therapy Practice: Evidence-Based Therapy Practice Culture
“Evidence-based” should mean more than a buzzword. This guide shows what evidence-based therapy practice culture looks like in real clinics: training with feedback, case consultation, measurement-based care, and the humility to adjust (or refer out) when fit isn’t there.

Ryan Burns
Feb 27 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 26 min read


1099 therapist taxes basics: What to Track
1099 therapist taxes basics can feel overwhelming, but you don’t need a perfect spreadsheet to get organized. This guide shows a simple weekly tracking system for income, expenses, mileage, and admin time, plus “good enough” bookkeeping habits that make tax season calmer.

Ryan Burns
Feb 26 min read


Telehealth Counseling - Tennessee License Requirements: Can You Serve TN Clients If You’re Licensed Elsewhere?
Telehealth counseling Tennessee license requirement can trip up even experienced clinicians. Learn why “where the client sits” matters, how Tennessee boards approach out-of-state telehealth, and a simple workflow for documentation, travel, and supportive referrals.

Ryan Burns
Feb 26 min read


How to Know You’re Ready to Hire Your First Contractor Clinician
Hiring your first contractor clinician can feel risky. This guide helps you hire a therapist independent contractor with clear green lights, red flags, onboarding essentials, and a 30 - 60 day ramp plan, so growth is sustainable and compliant.

Ryan Burns
Feb 28 min read


Telehealth Setups That Support Clinical Quality
strong telehealth setup is more than a camera and a link. This guide covers telehealth therapy best practices therapist teams use to protect privacy, boundaries, and workflow so sessions feel calmer, safer, and more effective.

Ryan Burns
Feb 28 min read


Starting a Private Practice in Tennessee: The Hard Parts and a Practical Roadmap
Starting a private practice in Tennessee can be rewarding - but it’s also more operationally complex (and financially risky) than most therapists expect. This roadmap highlights the hard parts, the minimum viable checklist, and why many clinicians choose a supported jumpstart through the ScienceWorks Management Program.

Ryan Burns
Feb 26 min read


The “Platform” Approach: The Therapy Practice Platform Model for Faster Growth With Shared Infrastructure
A therapy practice platform model can help clinicians grow faster by removing the biggest friction points: marketing, admin, and tech decisions, while keeping clinical autonomy intact.

Ryan Burns
Feb 26 min read


Niche vs “Generalist”: How to Choose a Therapy Niche That Builds Momentum
Choosing between niche and generalist work can feel risky. This guide on how to choose a therapy niche shows when specialization builds momentum, when generalist work is strategic, and how to position your practice so the right-fit clients and referrers can find you.

Ryan Burns
Feb 26 min read


Psychology Today profile tips therapist: How to attract better-fit clients
Most therapist directories reward clarity, not credentials. These Psychology Today profile tips therapist owners can use help the right clients recognize themselves fast: a best-fit headline, first 150 words, smart specialties and keywords, trust signals, and a simple inquiry-to-consult flow that filters out poor fits.

Ryan Burns
Feb 16 min read


Marketing for Therapists: 5 Channels That Actually Work (and How to Pick Yours)
Marketing for therapists works best when you stop trying everything and commit to two channels for 90 days. Here are 5 channels that actually work, plus a simple scorecard to choose yours.

Ryan Burns
Feb 17 min read


How to Build a Therapy Caseload Tennessee Therapists Can Sustain (Without Feeling Salesy)
Build a therapy caseload Tennessee clinicians can feel good about by making your message clear, choosing high-trust channels, and using ethical guardrails. This guide includes a 30-60-90 day plan.

Ryan Burns
Feb 18 min read


Therapist Split Percentage Private Practice: What’s Fair and How to Compare Offers
Therapist split percentage private practice offers can look similar on paper, but the “fair” split depends on fees, cancellations, support, and how fast you get paid. Use the numbers below to compare offers with less guesswork.

Ryan Burns
Feb 19 min read
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