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


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 st

Ryan Burns
Mar 117 min read


Why ERP Didn’t Work Before: Pacing, Provider Fit, and What to Do 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 119 min read


I Keep Researching My Symptoms but Still Feel Stuck: When It’s Time to Move From Self-Education to 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

Ryan Burns
Mar 108 min read


Can Therapy Help if I’m Not Sure Whether It’s ADHD, Autism, OCD, or Trauma? Therapy for Overlapping Symptoms
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 107 min read


Pathological demand avoidance treatment: when demand avoidance needs a different therapy 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” Ho

Kiesa Kelly
Mar 97 min read


Adult ADHD Therapy for Overwhelm, Freeze, and “Small 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 96 min read


I Feel Autistic in Midlife: AQ-10, Burnout, and Why Autism in Women Over 40 Can Show Up
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you’ve been googling autism in women over 40 and thinking, “Why does this feel so true now?” you’re not alone. Many women reach midlife and suddenly notice more sensory overwhelm, more social exhaustion, and more “I can’t do life anymore” moments, even if they’ve been highly capable for decades. Diagnostic bias and masking (camouflaging) can delay recognition, especially when someone has learned to look “fine” on the

Kiesa Kelly
Feb 276 min read


Late-Diagnosed Autism in Women After 40: How Adult Evaluations Work (and Why It’s Not Too Late)
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

Kiesa Kelly
Feb 267 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


Burnout vs depression symptoms: 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 197 min read


Autism Hot Flashes: Why Temperature Shifts Can Trigger Shutdowns or Meltdowns
Autism hot flashes can feel like more than “being warm.” If your nervous system already runs close to overload, a sudden temperature shift in perimenopause or menopause can flip the switch into shutdowns or meltdowns. This guide explains why, what to watch for, and how to plan supports that actually fit your life.

Kiesa Kelly
Feb 128 min read


Late-Identified Autism After 40: Late Diagnosed Autism in Women and Hormonal Transitions
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 49 min read


Autism vs ADHD in Women vs Menopause: When Everything Feels Like “Too Much”
Midlife can turn everyday life into sensory overload, brain fog, and burnout. Here’s how autism vs adhd in women can overlap with menopause, and what a differential evaluation can clarify.

Kiesa Kelly
Feb 48 min read


Autism and Menopause: Why Sensory Overload and Burnout Can Spike in Midlife
Autism and menopause can collide in midlife in ways that feel confusing: more sensory overload, less recovery time, and faster burnout. This guide explains why it happens and what helps.

Kiesa Kelly
Feb 49 min read


PDA vs ODD: What’s Similar, What’s Different, and Why It Matters
Confused about pda vs odd? From the outside, both can look like “refusing.” But the why is often different. This guide breaks down what overlaps, what’s distinct, and how choosing the right support plan can reduce power struggles at home and school.

Kiesa Kelly
Dec 21, 20256 min read


Executive Dysfunction vs Demand Avoidance: How Evaluations Tell Them Apart
Executive dysfunction vs demand avoidance both can sound like “they won’t,” but the mechanism matters. Learn how evaluations tell ADHD-style executive overload from a nervous-system threat response to demands—and what supports fit each pattern.

Kiesa Kelly
Dec 17, 20257 min read


Your Child's Meltdowns Aren't Behavior Problems: Understanding and Managing Meltdowns
Your child’s meltdowns aren’t bad behavior—they’re neurological overload. When the brain’s stress response takes over, your child isn’t being defiant—they’re overwhelmed. Your job is safety and calm, not correction. Through co-regulation, patience, and understanding triggers, you can help your child’s nervous system recover and build lasting regulation skills.

Shane Thrapp
Oct 9, 202510 min read
bottom of page
