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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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Is My Medication Not Working? Perimenopause ADHD Treatment Questions to Ask 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
6 days ago10 min read


Late diagnosed ADHD (or Autism) After 40: Grief, Relief, and Identity Whiplash
Late diagnosed ADHD after 40 can bring equal parts relief and grief. Learn why women are identified later, how perimenopause can expose coping limits, and what to expect next in Tennessee.

Kiesa Kelly
6 days ago9 min read


ADHD Overwhelm in Midlife: Why Perimenopause Can Shrink Your “Bandwidth”
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
6 days ago8 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
6 days ago8 min read


ADHD Insomnia in Perimenopause: “Wired but Tired” and the 3AM Brain
Last reviewed: 02/12/2026 Reviewed by: Dr. Kiesa Kelly If you are in perimenopause and dealing with adhd insomnia , you may recognize the same nightly script: you are exhausted at 9PM, wide awake at 11PM, and then your brain turns on like a searchlight at 3AM. This “wired but tired” pattern is not a character flaw. It is often a predictable interaction between hormonal transition, stress physiology, and an ADHD brain that has a harder time downshifting. 💡 Key takeaway: When

Kiesa Kelly
6 days ago9 min read


Midlife Autistic Burnout: Why Recovery Looks Different (and What Not to Shame Yourself For)
Midlife autistic burnout can hit hard when decades of masking meet perimenopause, family demands, and shrinking recovery time. Learn how to spot it, what it is not, and what to stop shaming yourself for.

Kiesa Kelly
6 days ago9 min read


ADHD Masking Burnout in Midlife: Signs You’re Running on Survival Mode
Last reviewed: 02/12/2026 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 sig

Kiesa Kelly
6 days ago9 min read


Undiagnosed Autism and Menopause: Why Midlife Can Be the Breaking Point
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
6 days ago11 min read


ADHD and Menopause: Why Symptoms Can Spike Even If You’ve “Always Coped”
Last reviewed: 02/12/2026 Reviewed by: Dr. Kiesa Kelly If you’ve spent decades “keeping it together,” it can be jarring when ADHD and menopause seem to team up and your symptoms suddenly spike. Tasks that used to be manageable take twice the effort. Brain fog shows up at the worst times. Your patience feels thinner, and your usual systems stop working. This is common, and it’s not a personal failure. The menopause transition can change sleep, mood, and cognition, and many wom

Kiesa Kelly
6 days ago11 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
6 days ago10 min read


ADHD or Perimenopause Brain Fog: A Differential Checklist for Midlife Women
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
6 days ago10 min read


AuDHD in Midlife Women: Why Coping Systems Stop Working in Perimenopause
Perimenopause can make long-built coping strategies collapse. This guide explains why AuDHD assessment midlife women often starts making sense now, and what support can help.

Kiesa Kelly
Feb 47 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


Telehealth Setups That Support Clinical Quality
strong telehealth setup is more than a camera and a link. This guide covers telehealth therapy best practices therapist teams use to protect privacy, boundaries, and workflow so sessions feel calmer, safer, and more effective.

Ryan Burns
Feb 28 min read


Starting a Private Practice in Tennessee: The Hard Parts and a Practical Roadmap
Starting a private practice in Tennessee can be rewarding - but it’s also more operationally complex (and financially risky) than most therapists expect. This roadmap highlights the hard parts, the minimum viable checklist, and why many clinicians choose a supported jumpstart through the ScienceWorks Management Program.

Ryan Burns
Feb 26 min read


ADHD vs anxiety women in perimenopause: How a good assessment sorts out what’s driving what
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


Perimenopause ADHD Symptoms: Can Perimenopause Cause ADHD-Like Symptoms (Even Without ADHD)?
Perimenopause ADHD symptoms can look a lot like adult ADHD: distractibility, forgetfulness, brain fog, and emotional overwhelm. Here’s why it happens, how to tell “is it ADHD or menopause,” and what a real evaluation can clarify.

Kiesa Kelly
Jan 177 min read


Is It ADHD or Perimenopause? How Clinicians 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 178 min read


How to Get Diagnosed With ADHD as a Woman: What to Expect From the Process
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 38 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 39 min read
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