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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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Why Adult ADHD and Autism Testing in Washington Can Take So Long and How to Find a Faster Path to Answers
Last reviewed: 03/14/2026 Reviewed by: Dr. Kiesa Kelly If you have been searching for adult ADHD autism testing in Washington , the hardest part is often not deciding to get help. It is waiting while work keeps slipping, home responsibilities keep piling up, and you still do not know whether ADHD, autism, trauma, anxiety, OCD, sleep disruption, or some combination best explains what is going on. In Washington, long behavioral health waitlists and uneven provider availability

Ryan Burns
Mar 157 min read


Affordable ADHD Testing in Washington: What to Compare When Cost and Wait Time Both Matter
Last reviewed: 03/14/2026 Reviewed by: Dr. Kiesa Kelly If you are looking for affordable ADHD testing Washington options, it is easy to get stuck comparing prices, bios, and waitlists without feeling any closer to a decision. For adults, the better question is not just “What is cheapest?” It is “What will give me a clear answer, in a reasonable time frame, without sending me back to square one?” A strong evaluation should help you understand whether ADHD fits, what else may

Kiesa Kelly
Mar 146 min read


Telehealth Psychological Assessments Texas Adults Can Trust: What Can Be Done Online and How to Know if It’s a Good Fit
Last reviewed: 03/14/2026 Reviewed by: Dr. Kiesa Kelly A telehealth psychological assessment Texas adults complete can sound too convenient to be rigorous. That skepticism makes sense. In reality, many core parts of a careful adult evaluation can happen well by telehealth when the referral question, tools, privacy, technology, and clinician judgment all line up. Texas allows remote care for clients located in Texas when the provider is appropriately licensed, and PSYPACT crea

Ryan Burns
Mar 147 min read


Adult ADHD/Autism Evaluation In Texas: Why Waitlists Are Long and What to Look for Sooner
Last reviewed: 03/14/2026 Reviewed by: Dr. Kiesa Kelly If you have been searching for an adult ADHD autism evaluation in Texas option and keep running into month-long waitlists, you are not imagining the problem. Adult neurodevelopmental assessment has grown more visible, but access has not always kept pace. At the same time, a good evaluation still needs more than a quick quiz. It should sort through overlap between ADHD, autism, anxiety, OCD, trauma, sleep problems, burnou

Kiesa Kelly
Mar 149 min read


Online Psychological Testing in Tennessee: What Can Be Done by Telehealth and What Still Needs To Be In-Person
Last reviewed: 03/12/2026 Reviewed by: Dr. Kiesa Kelly For many adults searching online psychological testing Tennessee options, the real concern is not just convenience. It is whether a telehealth evaluation will be careful, credible, and useful. In Tennessee, telepsychology is allowed, but the provider generally needs Tennessee authorization to serve a client in Tennessee, including via PSYPACT where applicable.[1][2] The more useful question is usually: which parts of this

Ryan Burns
Mar 137 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


Do I Need Specialized Therapy or General Counseling? How to Tell the Difference
Last reviewed: 03/10/2026 Reviewed by: Dr. Kiesa Kelly If you’re trying to decide between specialized therapy and general counseling, you’re not alone. Many people start with “therapy” as a broad idea, then realize they need something more specific, like treatment that targets OCD loops, insomnia, trauma responses, or executive function struggles. In this article, you’ll learn: What people usually mean by “general counseling” (and when it helps) What makes therapy “specialize

Ryan Burns
Mar 109 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


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 complicate

Kiesa Kelly
Mar 99 min read


What Type of Therapy Do I Need? A Decision Guide for OCD, ADHD, Autism, Insomnia, and Trauma
Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly Searching “type of therapy” can feel like walking into a hardware store without a project. The problem is not you. The word therapy covers very different tools, and the best fit depends on the pattern underneath your symptoms: obsessive doubt, executive-function overload, trauma-driven threat responses, or a sleep system that’s learned the wrong rhythm. In this article, you’ll learn: How to match symptoms to an evidence-

Ryan Burns
Mar 97 min read


Y-BOCS Screener: When Intrusive Thoughts Point to OCD (Not “You Being Broken”)
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly Intrusive thoughts can feel so personal that it’s easy to mistake them for proof you’re “bad,” “unsafe,” or “broken.” But the y bocs is designed to measure something very different: how much obsessive-compulsive symptoms are taking from your life. In this article, you’ll learn: What the Y-BOCS measures (and what it does not) How ybocs scoring works and how to interpret it without spiraling The difference between intrusive

Ryan Burns
Feb 278 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


Why Clinicians Use Multiple Adult ADHD Screening Tools in ADHD/Autism Evaluations (and What Each One Adds)
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you’ve ever taken an online quiz and wondered, “So… do I have ADHD or autism?”, you’re not alone. Adult ADHD screening tools can be helpful, but a single score rarely tells the full story. That’s why quality evaluations typically include more than one questionnaire: clinicians are looking for a consistent pattern across attention, mood, sleep, anxiety, sensory load, and life history. In this article, you’ll learn: Why

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 interview

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

Kiesa Kelly
Feb 276 min read


After a Positive ASRS: How to Prepare for an Adult ADHD Assessment (Midlife Women)
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you scored “positive” on the ASRS and you’re wondering what comes next, an adult ADHD assessment can feel like both relief and a new kind of overwhelm. Many midlife women seek an evaluation after years of coping and masking, then hit a tipping point in their 40s. 🧭 Key takeaway: A positive ASRS is a screening signal, not a diagnosis. A full evaluation looks at your history, current symptoms, and real-life impact. [3,4

Ryan Burns
Feb 277 min read


ASRS Part A vs Part B: ASRS v1 1 score interpretation when results split
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you’ve ever searched “asrs v1 1 score interpretation” and felt more confused afterward, you’re not alone. One of the most common questions we hear is: “Why did I ‘pass’ Part B but not Part A?” The short answer is that the ASRS is not a pass/fail test, and Part A is designed as a quick screener rather than a full diagnostic score. [1–3] In this article, you’ll learn: What Part A and Part B are measuring Why different AD

Kiesa Kelly
Feb 277 min read


“Borderline” ASRS Results: What Clinicians Look For Next
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you’ve taken the Adult ADHD Self-Report Scale and landed in the “borderline” zone, asrs results can feel like a frustrating non-answer: not clearly “positive,” not clearly “negative.” You’re not alone, and you’re not doing anything wrong. The ASRS (especially the 6-question screener) is designed to flag people who may benefit from a fuller evaluation, not to deliver a diagnosis by itself. [1][2] In this article, you’l

Ryan Burns
Feb 277 min read
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