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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 ADHD Screening: What the ASRS v1.1 Measures & Misses
The ASRS ADHD screener is a common first step for adults wondering about ADHD. Here’s what it measures, what it can’t confirm, why false positives happen, 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


ADHD & Perimenopause: When Midlife Overwhelm Takes Over
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


Does ADHD Get Worse in Perimenopause? What Changes and Why
does adhd get worse in perimenopause? For many people, symptoms can intensify as estrogen fluctuates, sleep fragments, stress rises, and the brain’s dopamine systems have less “buffer” for attention and executive function. This guide explains what’s changing and practical, non-medical ways to reduce overload.

Kiesa Kelly
Feb 1211 min read


ADHD or Perimenopause Brain Fog? How to Tell the Difference
Last reviewed: 02/12/2026 Reviewed by: Dr. Kiesa Kelly If you’re asking yourself, “Is this ADHD or perimenopause?” you’re in good company. Many midlife women notice new (or suddenly unmanageable) trouble with focus, follow-through, emotional regulation, and memory, and it can be hard to tell what’s driving it. In this article, you’ll learn: Why perimenopause can change attention, memory, sleep, and stress tolerance How ADHD patterns tend to look across a lifetime (especially

Kiesa Kelly
Feb 1211 min read


High-Masking Autism in Adults: When Tests Aren't Enough
High-masking adults can “test fine” yet still struggle daily. This article explains why a comprehensive adult autism assessment often depends more on a skilled clinical interview and developmental history than on tests alone.

Ryan Burns
Feb 109 min read


Midlife ADHD Relationships: Menopause & Communication Repair
Midlife can turn small miscommunications into big blowups. This guide on adhd relationships women navigate connects ADHD/AuDHD patterns, menopause stress, and nervous-system overload, then offers practical scripts and repair tools that reduce shame and build teamwork.

Kiesa Kelly
Feb 48 min read


ADHD at Work in Perimenopause: Memory Slips and What Helps
ADHD at work - women in perimenopause often notice it first on the job: memory slips, overwhelm, and a sudden drop in executive function. This guide explains the ADHD–perimenopause overlap and shares realistic, no-hustle supports, communication tweaks, and accommodation ideas.

Kiesa Kelly
Feb 48 min read


What an Adult ADHD Assessment Should Include
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 38 min read


ADHD vs Menopause Brain Fog: A Midlife Differential Checklist
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 39 min read


How to Find Your Therapy Niche (or Stay a Generalist)
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 29 min read


ADHD or PMDD? Hormones and Perimenopause in Women
Hormones and ADHD in women can create predictable “windows” when attention, follow-through, and emotional regulation feel harder. A history of PMDD and the menopause transition can add useful context in a thorough ADHD evaluation, without oversimplifying the picture.

Kiesa Kelly
Jan 198 min read


New Attention Problems in Perimenopause: When to Consider ADHD Testing
New attention problems perimenopause can feel scary: brain fog, time blindness, overwhelm. This guide helps you compare menopause-related cognitive changes with adult ADHD, understand screening vs full assessment, and decide when ADHD testing could give clarity.

Kiesa Kelly
Jan 189 min read


ADHD vs Anxiety in Perimenopause: Telling Them Apart
Perimenopause can turn focus, sleep, and emotions upside down. If you're stuck in the ADHD vs anxiety women question, a good assessment can map what came first, what worsened, and what supports will help—whether the answer is ADHD, anxiety, both, or neither.

Kiesa Kelly
Jan 188 min read


Is It ADHD or Perimenopause? How to Tell the Difference
Is it ADHD or perimenopause? In midlife, brain fog and executive dysfunction can come from hormone shifts, lifelong ADHD patterns, or both. Here’s how clinicians tell the difference - and what to do next.

Kiesa Kelly
Jan 1710 min read


How to Get Diagnosed With ADHD as a Woman: What to Expect
If you’re searching for how to get diagnosed with ADHD as a woman, this guide walks you through each step: choosing the right assessment, finding a clinician who understands masking, what happens in intake and testing, and what to do with results in Tennessee or via telehealth.

Kiesa Kelly
Jan 39 min read


ADHD in Women: Separating Fact From Fiction
ADHD in women is often missed or mislabeled. This myth-busting guide explains what high-masking can look like, why anxiety and ADHD overlap, and what real testing involves, with next steps for Tennessee.

Kiesa Kelly
Jan 310 min read


ADHD Testing for Women: What a Quality Evaluation Includes
ADHD testing for women should be more than a quick quiz. Here’s what a quality evaluation includes (history, impairment, standardized measures, and differential diagnosis), plus how telehealth ADHD testing works in Tennessee.

Kiesa Kelly
Jan 210 min read


Private ADHD Testing: How It Works and What You Receive
Private ADHD testing can feel like the fastest path to answers, but quality matters. Here’s what a thorough private adhd testing process includes, what you should receive, and what to ask before you book.

Ryan Burns
Dec 24, 202510 min read


Executive Dysfunction vs Demand Avoidance Explained
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, 20259 min read
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