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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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OCD, ADHD, and Autism: How Specialized Therapy Changes the Plan
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly When OCD / ADHD / autism overlap, it can feel like you’re trying to solve the wrong problem. You may be working hard on anxiety skills, routines, or productivity, but the stuck part stays stuck. That’s often a sign OCD is driving the plan, even if it doesn’t look like “classic” OCD. In this article, you’ll learn: How OCD can mimic (or hide behind) autism and ADHD traits Why executive function and sensory load can make sta

Ryan Burns
Mar 118 min read


Why ERP Didn't Work Before: Pacing, Fit, and What's Next
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly If you’re thinking, “ERP didn’t work for me,” you’re not alone. Many people try Exposure and Response Prevention (ERP) for OCD, feel overwhelmed or misunderstood, and leave believing they “failed” treatment. In reality, ERP therapy not working often points to a pacing problem, a planning problem, or a provider-fit problem, not a character flaw. In this article, you’ll learn: Why a bad-fit experience can create shame (and

Ryan Burns
Mar 1110 min read


Researching Your Symptoms but Still Stuck? When to Start Therapy
Last reviewed: 03/10/2026 Reviewed by: Dr. Kiesa Kelly If you’ve been asking yourself when to start therapy, you’re not alone. For a lot of thoughtful, motivated people, learning about mental health becomes a form of self-care at first, and then slowly turns into hours of searching, second-guessing, and trying to “figure it out” before you’re allowed to get help. In this article, you’ll learn: Why self-education can be helpful and also quietly exhausting Signs your research h

Ryan Burns
Mar 108 min read


Brain Won’t Turn Off at Night? When It’s Insomnia, Not Stress
Last reviewed: 03/10/2026 Reviewed by: Dr. Kiesa Kelly If your brain won’t turn off at night, it can feel like your body is begging for sleep while your mind keeps running a full-length documentary. You may tell yourself it’s “just stress,” Google more sleep tips, and try harder, but the more you chase sleep, the more awake you feel. 🧠 Key takeaway: If you can’t turn your brain off at night, it’s often a pattern your nervous system learned, not a personal failure. In this ar

Ryan Burns
Mar 109 min read


ADHD or Anxiety? How Therapy Shifts by the Real Driver
Last reviewed: 03/10/2026 Reviewed by: Dr. Kiesa Kelly If you’ve been asking yourself “Is it ADHD or anxiety?” you’re not alone. The overlap is real, especially for high-achieving adults who have learned to power through until they can’t. The good news is that once therapy targets the true driver, things often feel clearer and more workable. In this article, you’ll learn: Why ADHD vs anxiety symptoms can look nearly identical day to day Signs ADHD may be the first domino (eve

Kiesa Kelly
Mar 109 min read


Therapy for Overlapping Symptoms: ADHD, Autism, OCD, Trauma
Last reviewed: 03/10/2026 Reviewed by: Dr. Kiesa Kelly If you’ve been cycling through possibilities like ADHD, autism, OCD, and trauma, you’re not alone. Many struggles show up as the same “surface symptoms,” which is why therapy for overlapping symptoms can help even when you’re not ready to claim one label. In this article, you’ll learn: Why overlapping symptoms are so confusing Common patterns people mix up (and what clinicians listen for) What therapy can do before you ha

Ryan Burns
Mar 108 min read


Pathological Demand Avoidance Treatment: A Different Approach
Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for pathological demand avoidance treatment, you may already know the frustrating paradox: the more someone feels pressured to “just do it,” the more their nervous system locks up. That pattern can show up in kids, teens, and adults and often co-occurs with ADHD, autism, anxiety, trauma, or a mix of them. In this article, you’ll learn: Why demand avoidance is often a stress response, not “attitude” How

Kiesa Kelly
Mar 98 min read


Adult ADHD Therapy for Overwhelm, Freeze, and Task Paralysis
Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly For many adults, adult ADHD therapy is less about “trying harder” and more about changing the conditions that make action possible: lowering friction, reducing shame, and building systems that fit an ADHD nervous system. In this article, you’ll learn: Why overwhelm and freezing are common ADHD patterns (not a character flaw) What therapy targets when “small task paralysis” is the main problem ADHD-friendly strategies you

Kiesa Kelly
Mar 98 min read


ADHD Treatment Without Medication: What Therapy Can Help With
Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for ADHD treatment without medication, you’re probably not looking for a debate about meds. You’re looking for relief, follow-through, and a plan that doesn’t rely on willpower you “should” have. The good news is that therapy can be a practical, evidence-based way to reduce ADHD-related impairment, even if medication is not part of your plan right now.[1] In this article, you’ll learn: What people usua

Ryan Burns
Mar 910 min read


Late-Diagnosed Autism in Women After 40: How Evaluations Work
Last reviewed: 02/26/2026 Reviewed by: Dr. Kiesa Kelly If you’ve been wondering about late diagnosed autism in women in your 40s, 50s, or beyond, you’re not alone. Many high-masking women reach midlife feeling “functional” on paper while privately managing burnout, sensory overload, or relationship stress. A well-done adult evaluation can help you clarify what’s a lifelong neurodevelopmental pattern versus what’s better explained by anxiety, trauma, sleep problems, hormonal s

Kiesa Kelly
Feb 268 min read


Online ADHD Tests vs a Real Adult ADHD Assessment
Last reviewed: 02/26/2026 Reviewed by: Dr. Kiesa Kelly If you’ve taken an adult ADHD test online after another day of “Why can’t I just do the thing?”, you’re not alone. An online ADHD assessment (or “online ADHD test for adults”) can be a helpful first step, but it isn’t the same as a clinical diagnosis. In this article, you’ll learn: Why quick online results can feel so compelling during burnout The difference between ADHD screening for adults and diagnosis Signs it’s time

Ryan Burns
Feb 267 min read


CBT-I in Nashville TN: Evidence-Based Insomnia Treatment
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 th

Kiesa Kelly
Feb 239 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


ADHD Burnout vs Depression: How to Spot the Real Driver
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


Executive Dysfunction vs ADHD: What's the Difference?
Executive function vs ADHD can feel like the same daily struggle: late starts, forgotten tasks, and unfinished projects. This guide helps you spot the difference, choose the right screener (ASRS or ESQ-R), and know when to seek an evaluation in Tennessee.

Ryan Burns
Feb 198 min read


Executive Dysfunction in Adults: Why You Can't Start (and What Helps)
Executive dysfunction isn’t a character flaw. It’s a set of “brain management” skills (planning, starting, remembering steps, tracking time) that can get overloaded. This guide explains what executive dysfunction looks like in adults, how it differs from procrastination, and what to do next without self-blame.

Ryan Burns
Feb 199 min read


ADHD vs Anxiety in Adults: Why Screeners Get Confusing
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 197 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


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 1210 min read


ADHD and Perimenopause: Why Midlife Overwhelm Hits Harder
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 1210 min read
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