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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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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 29 min read


PHQ-9 Score Meaning: What 0-27 Ranges Suggest
Last reviewed: 07/10/2026 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 278 min read


Why Clinicians Use Multiple ADHD Screeners: ASRS, AQ-10
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 278 min read


ASRS + AQ-10 Both Positive: Is It AuDHD? Next Steps
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 278 min read


AQ-10 vs RAADS-R vs AQ-50: Adult Autism Screeners Compared
Last reviewed: 03/18/2026 Reviewed by: Dr. Kiesa Kelly Different autism screeners answer slightly different questions. If you have found the AQ-10 questionnaire online and are now comparing it with the RAADS-R or AQ-50, this page is here to help you match each screener to its actual purpose. It is not the main scoring guide for any single test, and it is not a substitute for a full evaluation when the real question is bigger than one questionnaire can answer. In this article,

Ryan Burns
Feb 279 min read


Autism vs Social Anxiety: How to Tell the Difference
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 279 min read


Autistic Burnout & Midlife: Why Autism Shows Up After 40
Last reviewed: 07/08/2026 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 2710 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’ll

Ryan Burns
Feb 278 min read


No Childhood Records? Adult ADHD or Autism Diagnosis
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 268 min read


Autism in Women Over 40: Late Diagnosis & Evaluation
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


AuDHD Test or Assessment for Adults: ADHD + Autism
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 268 min read


ADHD Testing in Nashville: Evidence-Based Care for Adult Women
Last reviewed: 02/26/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for ADHD testing providers in Nashville as an adult woman, the results can feel inconsistent: directories, quick “online tests,” medication visits, and full evaluations that all use the same words. This guide breaks down what “evidence-based” should mean so you can choose an assessment that’s thorough, fair, and actually helpful. In this article, you’ll learn: Why Nashville listings can be confusing Wh

Kiesa Kelly
Feb 268 min read


ADHD Testing for Women Over 40: Choosing an Evaluation
Last reviewed: 02/26/2026 Reviewed by: Dr. Kiesa Kelly If you’re looking into ADHD testing for women in midlife, you’re not alone. If you’ve searched for an “adhd test for women over 40,” this article can help you understand what actually matters in a real-world evaluation. Many women first seek an evaluation in their 40s or 50s after burnout, shifting hormones, a child’s diagnosis, or the feeling that “my systems stopped working.” Reviews and consensus guidance suggest ADHD

Kiesa Kelly
Feb 268 min read


Mental Health Screeners 101: How to Use Screening Tools Wisely
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 2010 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 198 min read


AQ-10 vs RAADS-R: Which Autism Screener Fits Your Question?
AQ-10 vs RAADS-14 can feel confusing when you’re trying to make sense of autistic traits as an adult. Here’s what each screener is best for and what to do next.

Kiesa Kelly
Feb 197 min read


ADHD Burnout vs Depression: How to Tell the Difference
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


Autism & Hot Flashes: Heat Triggers Shutdowns & 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 129 min read


ADHD Masking Burnout in Midlife: Signs of Survival Mode
Last reviewed: 07/10/2026 Reviewed by: Dr. Kiesa Kelly If ADHD masking burnout is hitting you in midlife, it can feel confusing: you’re still “doing the things,” but everything costs more energy than it used to. You may look organized, competent, and fine, while privately living in a constant state of catching up, overthinking, and emotional overload. In this article you’ll learn: What ADHD masking burnout is (and why it’s so common in high-masking women) The most common sign

Kiesa Kelly
Feb 1210 min read


Undiagnosed Autism & Menopause: Why Midlife Hits Hardest
Undiagnosed autism and menopause can collide in midlife, making long-held coping strategies suddenly feel like they stop working. Learn why sensory overload, fatigue, burnout, and executive function strain can spike in perimenopause, plus how a neurodiversity-affirming assessment and practical supports can help.

Kiesa Kelly
Feb 1213 min read
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