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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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Adult Autism Evaluation in Washington: What High-Masking Adults Should Know About Cost, Fit, and Access
Last reviewed: 03/15/2026 Reviewed by: Dr. Kiesa Kelly In our practice, many adults who pursue an adult autism evaluation Washington have spent years functioning well enough on paper while feeling increasingly overwhelmed in real life. Many high-masking adults have learned to script, overprepare, or explain their differences as anxiety, perfectionism, or “just stress” before autism becomes part of the conversation.[3,4] We think it is important to say this clearly: a delayed

Kiesa Kelly
Mar 157 min read


Adult Autism Assessment in Texas: What You’re Really Paying For and How to Avoid a Months-Long Wait
Last reviewed: 03/14/2026 Reviewed by: Dr. Kiesa Kelly If you are looking for an adult autism assessment Texas adults can actually use, the biggest question is rarely just “What does it cost?” It is usually “Will this finally explain the pattern I have been living with for years?” A strong evaluation should give you clarity, context, and next steps, not just a label. In this article, you’ll learn: why adult evaluations can be hard to access what a careful assessment should in

Ryan Burns
Mar 147 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


AuDHD Therapist: What Neurodivergent-Affirming Therapy Actually Looks Like for Adults
Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for an AuDHD therapist, you may already know what you don’t want: therapy that treats your nervous system like a behavioral problem, interprets sensory pain as “resistance,” or praises you most when you look “normal.” Many AuDHD adults (autistic + ADHD) have learned to mask to survive, and that can come with a real cost. Autism and ADHD also commonly overlap, which can make your needs feel complicated

Kiesa Kelly
Mar 98 min read


Demand Avoidance in Adults: When Everyday Tasks Feel Like Threats
Last reviewed: 03/02/2026 Reviewed by: Dr. Kiesa Kelly If demand avoidance in adults shows up in your life, you may recognize the feeling: a simple request (send an email, make an appointment, start the dishes) can land in your body like a threat. You might even hear yourself thinking, “why do I resist everything?” even when you genuinely want the outcome. In this article, you’ll learn: What “demand avoidance” means and how it relates to PDA-style patterns Why autonomy can fe

Ryan Burns
Mar 28 min read


PHQ-9 scoring in midlife: Depression, neurodivergent burnout, or both?
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you’ve been staring at a questionnaire total and wondering what it actually means, you’re not alone. In midlife, phq 9 scoring can reflect depression, but it can also capture chronic stress, hormone-driven sleep disruption, or neurodivergent burnout that looks a lot like “low mood.” In this article, you’ll learn: What the PHQ-9 measures (and what it doesn’t) A simple PHQ-9 score interpretation (including common cutoffs

Kiesa Kelly
Feb 277 min read


ASRS + AQ-10 Both Positive: Is It AuDHD? AuDHD Assessment Next Steps That Actually Help
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If your ASRS and AQ-10 were both positive, it can be tempting to jump straight to “So is this AuDHD?” An audhd assessment can help you sort out what’s going on, but screeners are only a starting point, not a diagnosis. In this article, you’ll learn: Why ADHD and autism traits can overlap (and feel contradictory) What popular screeners can and can’t tell you What to expect from a combined ADHD/autism evaluation How to choo

Ryan Burns
Feb 277 min read


AQ-10 vs Social Anxiety: Why the Overlap Is Real (and How Evaluations Sort It Out)
Last reviewed: 03/18/2026 Reviewed by: Dr. Kiesa Kelly If you are trying to make sense of autistic traits vs social anxiety, you are not imagining the overlap. Social anxiety and autistic traits can look similar in daily life, they can meaningfully affect each other, and for some people the answer is not a clean either/or. This page explains how evaluations sort out the difference without forcing a false choice between “it must be anxiety” and “it must be autism.” In this art

Kiesa Kelly
Feb 278 min read


After a Positive AQ-10: What an Adult Autism Assessment Near Me Actually Looks Like
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you just had a positive AQ-10 and you’re searching “adult autism assessment near me,” a big question usually follows: What happens next? A screening score can point you toward a full evaluation, but it can’t explain your full profile on its own. [1] In this article, you’ll learn: What an adult autism assessment is trying to answer (beyond “yes/no”) Typical steps in an autism evaluation for adults, including interviews

Ryan Burns
Feb 276 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 o

Kiesa Kelly
Feb 276 min read


AQ 10 Autism Screener (AQ-10): How to Read Results as a High-Masking Woman
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you’re a high-masking woman who took the AQ 10 and got a “surprisingly low” score (or a score that feels ambiguous), it can stir up a lot: relief, doubt, grief, validation, or a looping “But what does this actually mean?” The AQ-10 test is a quick autism screener, not a diagnosis. In real life, especially for women who’ve spent decades “passing,” the most important information isn’t just the number. It’s the lifelong p

Kiesa Kelly
Feb 278 min read


Do You Need Childhood Records for Adult ADHD or Autism Diagnosis? What to Do if You Don’t Have Them
Last reviewed: 02/26/2026 Reviewed by: Dr. Kiesa Kelly If you’re looking up where to get tested for autism or searching for an adult autism diagnosis near me, you may run into a common worry: “Do I need childhood records to get an adult autism or ADHD diagnosis?” The short answer: childhood history matters, but perfect childhood records are rarely required - especially in adult evaluations. A good clinician can often build a credible picture using interviews, real-life exampl

Kiesa Kelly
Feb 267 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 s

Kiesa Kelly
Feb 266 min read


AuDHD Assessment in Adults: When ADHD and Autism Overlap (Particularly for Midlife Women)
Last reviewed: 02/26/2026 Reviewed by: Dr. Kiesa Kelly If you’re looking into an AuDHD assessment, you’re probably not trying to collect labels. You’re trying to make sense of patterns like: “Why is work doable some days and impossible on others?” “Why do social situations drain me?” “Why do I crave novelty and also need predictability?” In this article, you’ll learn: What “AuDHD” means and why ADHD and autism can coexist The overlap clinicians untangle in an ADHD and autism

Ryan Burns
Feb 267 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 c

Kiesa Kelly
Feb 237 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


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


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
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