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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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Online ERP Therapy: What Telehealth ERP Actually Looks Like (Between Sessions, Too)
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly Online ERP therapy can feel mysterious at first, especially if you’ve only heard “exposure therapy” described as something extreme. In real life, telehealth ERP is usually structured, collaborative, and designed to help you practice in the places OCD actually shows up, including at home. In this article, you’ll learn: The biggest misconception about ERP (and why “exposure” isn’t flooding) What an ERP session looks like on

Ryan Burns
Feb 238 min read


Y-BOCS Scoring: What Your OCD Severity Score Means (and How Treatment Planning Works)
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly If you’ve taken a Y-BOCS test (or used an online questionnaire) and found yourself searching y bocs scoring , take a breath. A Y-BOCS score isn’t a verdict. It’s a way to estimate how much OCD is impacting your week , so you can plan treatment and track change over time.[1][4] In this article, you’ll learn: What the Y-BOCS scale measures (and what it doesn’t) How to interpret your score without turning it into reassuranc

Kiesa Kelly
Feb 237 min read


PHQ-9 Depression Screening: PHQ-9 scoring and how to interpret it safely
Your PHQ-9 score can feel scary or confusing. This guide explains phq-9 score meaning, severity ranges, and how to use your results safely, including what to do if you checked the self-harm item and how to get support in Tennessee.

Kiesa Kelly
Feb 197 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


“I Can’t Do One More Thing”: Demand Avoidance ADHD, Perimenopause, and ADHD Burnout
Last reviewed: 02/12/2026 Reviewed by: Dr. Kiesa Kelly If you’re in midlife and living with ADHD, you might recognize the moment when your brain says “I can’t do one more thing,” and your whole system shuts down. Demand avoidance adhd can show up as procrastination, irritability, or a sudden need to escape, even when you care deeply about the task. When perimenopause and long-term overfunctioning enter the mix, the “avoidance” often isn’t about attitude, it’s about nervous sy

Kiesa Kelly
Feb 128 min read


No Minimum Caseload Therapist Job Sounds Great - But What Does It Mean in Real Life?
“No minimum caseload therapist job” can mean freedom, or it can mean you’re on your own. Here’s how to tell the difference, ask the right questions, and build a steady caseload without hustle culture.

Ryan Burns
Feb 17 min read


1099 vs W2 therapist Tennessee: What changes (and what doesn’t)
Choosing between a 1099 vs W2 therapist Tennessee role is less about “better” and more about fit: autonomy, support, benefits, and how pay is structured. Use this guide to compare offers, ask smarter questions, and spot red flags before you accept.

Ryan Burns
Feb 17 min read


ROCD: Relationship OCD Signs and Cycles
ROCD (relationship OCD) can make normal relationship uncertainty feel urgent and dangerous, pulling you into “Do I really love them?” loops. This guide breaks down common ROCD symptoms, the obsession–compulsion cycle, and how ERP and I-CBT help you relate to doubts differently.

Ryan Burns
Dec 21, 20258 min read


Low-Demand, Autonomy-Supportive Therapy for PDA-Style Demand Avoidance: Low Demand Therapy Demand Avoidance
If you’ve lived with PDA-profile demand avoidance (in yourself or in your child), you already know the frustrating paradox: the more someone pushes, the less it works. What looks like “refusal” or “opposition” on the outside is often an internal nervous system threat response to demands —especially when those demands feel trapping, controlling, or impossible to escape. This is where low demand therapy for demand avoidance can be a game-changer. A low-demand, autonomy-suppo

Ryan Burns
Dec 15, 20259 min read


Demand Avoidance in ADHD: Overwhelm vs. Defiance (And What Therapy Does Differently)
Demand avoidance ADHD therapy helps you tell the difference between overwhelm and defiance—so you can reduce shutdowns, stop power struggles, and build supports that actually work.

Kiesa Kelly
Dec 14, 202510 min read


Practical Supports for Pathological Demand Avoidance in Neurodivergent Families
Many families are desperate for something more helpful than “be consistent with consequences.” For autistic demand avoidance, PDA support strategies rooted in safety, autonomy, and collaboration reduce power struggles and open practical pathways to "yes" at home and school.

Ryan Burns
Nov 18, 20257 min read


Insomnia Isn’t Just in Your Head: How Mind and Body Learn Sleeplessness (and How to Unlearn It)
CBT-I helps retrain the mind–body system so insomnia isn’t “stuck on.” In this post, you’ll learn how stress and conditioned arousal sustain sleeplessness—and how practical breath, light, movement, and cognitive tools (plus when to add CBT-I with ScienceWorks) can help you unlearn insomnia.

Kiesa Kelly
Oct 16, 20257 min read


Seasonal Stress Reset: Light, Sleep, and Small Habits for Darker Months
Seasonal stress light therapy habits can make winter easier. Learn what seasonal affective disorder (SAD) is, how circadian rhythm shifts in darker months, and which small routines—morning outdoor light, 10,000‑lux light boxes, steady sleep/wake windows, movement, and screen‑time boundaries—help you reset and feel better. Evidence‑based and practical, from ScienceWorks Behavioral Healthcare.

Ryan Burns
Oct 15, 20255 min read


Evaluating OCD Treatments: The Benefits of Specialized Care
Despite affecting 2-3% of the population, OCD remains widely misunderstood, with half of cases misdiagnosed by frontline medical workers and generalist mental health providers. This paper demonstrates how specialized care significantly improves outcomes through evidence-based treatments like ERP and I-CBT. By understanding OCD's diverse presentations, comorbidities, and effective treatments, providers can ensure timely referrals and offer their patients the most effective car

Ryan Burns
May 14, 202525 min read
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