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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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Therapy for Chronic Physical Health Conditions: Finding a Therapist Who Understands the Body-Mind Overlap
You have a chronic physical condition and the mental health side has caught up to the medical side in ways your previous therapy did not have to address. This article walks through what changes when chronic physical conditions enter the therapy picture.

Kiesa Kelly
May 913 min read


ESQ-R Score Interpretation: What Your Executive Skills Score Means (and What Helps Next)
You took the ESQ-R — or you are about to — and now you want to know what the number actually means. Maybe a friend recommended it after you mentioned how often you lose track of time. Maybe an ADHD screener pointed you here. Either way, you…

Kiesa Kelly
May 913 min read


How to Prepare for an Adult Autism Assessment: Intake, Interview, and What to Bring
A practical, specific guide for adults preparing for an autism assessment — what to gather, what the intake interview actually covers, which standardized measures evaluators commonly use, and how to talk about childhood history when records are missing.

Kiesa Kelly
Apr 2514 min read


Insomnia in Tennessee: CBT-I, Paradoxical Insomnia, and When Sleep Problems Need a Clinician
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


What a Trauma Therapy Intake Looks Like in Tennessee: EMDR, Prolonged Exposure, and Finding the Right Fit
A clear walkthrough of what happens at a Tennessee trauma therapy intake, how EMDR, Prolonged Exposure, and TF-CBT actually feel in practice, and how to choose the right modality. Includes telehealth specifics, common questionnaires, and questions to ask before you book.

Ryan Burns
Apr 2515 min read


PHQ-9 vs. GAD-7 vs. PROMIS-29: How Three Common Screeners Answer Three Different Questions
PHQ-9 measures depression severity, GAD-7 measures generalized anxiety severity, and PROMIS-29 measures seven health domains at once. Here is how to pick the right one for the question you are actually trying to answer — with score cutoffs, clinical meaning, and next steps.

Kiesa Kelly
Apr 2513 min read


Executive Function Coaching vs. ADHD Therapy: Which One Fits Which Problem
ADHD therapy and executive function coaching do two different jobs — and picking the wrong one can waste months. A clear comparison of what each changes, four real scenarios for choosing between them, and what cost and structure look like in practice.

Ryan Burns
Apr 2516 min read


EMDR vs CPT: How Two Evidence-Based Trauma Therapies Compare
EMDR and CPT are both evidence-based PTSD treatments. Compare mechanisms, session structure, guideline ratings, and which profile fits which therapy.

Kiesa Kelly
Apr 2214 min read


How EMDR Changes the Brain: The Neuroscience of Bilateral Stimulation
A plain-language walk through the current neuroscience of EMDR: what trauma does to the fear circuit, how bilateral stimulation taxes working memory, what fMRI and EEG studies show, and why memory reconsolidation is the leading explanation for durable change.

Kiesa Kelly
Apr 2214 min read


Online EMDR Therapy: How Virtual Bilateral Stimulation Works
If you have spent any time researching trauma therapy, you have probably asked the same quiet question most adults ask us: "Can this actually work over a screen?" It is a fair thing to wonder. EMDR — Eye Movement Desensitization and Reprocessing — was built around a therapist sitting across from a c

Ryan Burns
Apr 2213 min read


EMDR for OCD: When Trauma-Focused Work Complements ERP
If you have been in OCD treatment — or researching it seriously — you have probably run into a question that the field itself is still working out: should EMDR be part of your care, or is ERP enough on its own? The short version, and the one most competent OCD clinicians will tell you, is that Expos

Kiesa Kelly
Apr 2214 min read


How to Prepare for Your First EMDR Session: A Practical Guide
If you have scheduled your first EMDR session and are looking for what to actually do between now and then, this is the practical guide I would give you in my own office. EMDR is not like ordinary talk therapy — it has a defined protocol, a specific pacing, and a handful of things you can usefully d

Ryan Burns
Apr 2212 min read


EMDR for Anxiety and Phobias: When It Helps Beyond PTSD
Most people first hear about EMDR as a treatment for PTSD — and the PTSD evidence base is where it has its strongest clinical practice guideline support [1][2]. But clinicians have been using EMDR for non-PTSD anxiety presentations for three decades, and a growing peer-reviewed literature supports i

Kiesa Kelly
Apr 2212 min read


EMDR Contraindications: Who Should Not Start EMDR Yet
EMDR is one of the most-studied psychotherapies for trauma, recommended as a first-line treatment for PTSD by the World Health Organization, NICE, and the American Psychological Association [1][2][3]. It is also a protocol that, in certain circumstances, should not be started — or should not be star

Kiesa Kelly
Apr 2213 min read


EMDR for Medical Trauma and Chronic Illness: A Treatment Guide
If a hospital stay, surgery, diagnosis, or long illness still sits in your nervous system — flashbacks, panic at medical appointments, sleep trouble — that is medical trauma. Learn how EMDR is adapted for medical trauma, ICU survivors, cancer survivors, and people with chronic illness, what the research says about EMDR for chronic pain, and how to tell if this treatment fits you.

Kiesa Kelly
Apr 2114 min read


The 8 Phases of EMDR Therapy: What Happens in Each Session
A clinician's walkthrough of the 8 phases of EMDR therapy — from history taking and preparation through desensitization, installation, body scan, closure, and reevaluation. What actually happens in each session, how long the protocol takes, and what a first appointment feels like.

Kiesa Kelly
Apr 2116 min read


Pathological Demand Avoidance in Adults: PDA Signs and Support
Adult PDA profile explained: how pathological demand avoidance shows up at work and in relationships, why it's missed, and neurodivergent-affirming support.

Kiesa Kelly
Apr 2012 min read


AuDHD Evaluation for Adults: How Combined Autism + ADHD Testing Works
An AuDHD evaluation is a combined autism + ADHD assessment for adults. Learn the full process, timeline, costs, and Tennessee telehealth availability today.

Kiesa Kelly
Apr 2012 min read


Trauma Meaning: Big-T, Little-t, and What Clinical Trauma Really Is
What trauma actually means clinically — how big-T, little-t, and complex trauma differ, how PTSD gets diagnosed, and what evidence-based healing looks like.

Kiesa Kelly
Apr 2011 min read


High-Functioning ADHD: Why the Term Is Misleading for Adults
"High-functioning ADHD" isn't in the DSM. Learn what the term really means, how hidden ADHD shows up in adults, and when to pursue a full ADHD evaluation.

Kiesa Kelly
Apr 2011 min read
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