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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
Feb 1210 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
Feb 128 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
Feb 129 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
Feb 1211 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 1210 min read


Late-Identified Autism After 40: Late Diagnosed Autism in Women and Hormonal Transitions
Late diagnosed autism in women is common after 40, especially when perimenopause or menopause changes sleep, sensory tolerance, and recovery time. Learn why needs can feel “unmasked,” how autism differs from ADHD/anxiety/trauma, and what a good adult assessment includes.

Kiesa Kelly
Feb 49 min read


Autism vs ADHD in Women vs Menopause: When Everything Feels Like “Too Much”
Midlife can turn everyday life into sensory overload, brain fog, and burnout. Here’s how autism vs adhd in women can overlap with menopause, and what a differential evaluation can clarify.

Kiesa Kelly
Feb 48 min read


Midlife Relationships for Women with ADHD: Menopause Stress, and Communication Breakdowns
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 47 min read


ADHD, Sleep, and the “Brain Won’t Turn Off” Problem in Perimenopause
If your brain won’t turn off at night perimenopause, you are not imagining it. Sleep fragmentation can create ADHD-like symptoms (focus, memory, mood), and ADHD can also make “winding down” harder. This guide helps you sort sleep-only vs ADHD + sleep patterns and know what to track before an assessment.

Kiesa Kelly
Feb 48 min read


Why ADHD Symptoms Can Spike in Perimenopause (Even If You’ve “Always Managed Fine”): ADHD Symptoms in Perimenopause Explained
If you’ve always “managed fine,” a perimenopause shift can make ADHD symptoms perimenopause feel suddenly louder: sleep disruption, mood swings, brain fog, and executive dysfunction. Here’s why coping strategies can stop working, what’s normal, and how to get the right kind of help.

Ryan Burns
Feb 37 min read


ADHD vs Menopause Brain Fog: A Differential Checklist for Midlife Women
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 37 min read


Hormones and ADHD in Women: PMDD History, Perimenopause, and Diagnostic Clarity
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


Hormones and ADHD in Women: PMDD History, Perimenopause, and Diagnostic Clarity
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 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 188 min read


Perimenopause insomnia and ADHD: When insomnia is the “look-alike”
Perimenopause insomnia and ADHD can look nearly identical. Learn how sleep disruption drives brain fog and focus problems, what to track, and how a quality adult ADHD assessment separates sleep effects from ADHD.

Kiesa Kelly
Jan 187 min read


High masking ADHD women in menopause: Why you can look “fine” and still need an assessment
High masking ADHD women can look organized on the outside while feeling overwhelmed, scattered, and exhausted on the inside. In perimenopause and menopause, sleep disruption and shifting hormones can make long-held coping strategies stop working. Here’s how masking shows up in midlife, what a quality assessment looks like, and gentle next steps.

Kiesa Kelly
Jan 188 min read


ADHD Assessments for Women in Perimenopause: What to Expect (and What to Avoid)
Perimenopause brain fog can make an ADHD assessment for women feel extra confusing. Here’s what a quality evaluation includes, what to rule out, and red flags to avoid.

Kiesa Kelly
Jan 178 min read


Why ADHD Often Shows Up in Your 40s: Hormones, Masking, and Burnout for Late Diagnosed ADHD in Women
Many women feel ADHD “shows up” in their 40s. Often it’s a late diagnosis ADHD women pattern: lifelong traits plus masking, heavier roles, perimenopause-related sleep disruption, and burnout that finally overwhelm coping strategies. Here’s how clinicians sort ADHD vs burnout/anxiety—and what a midlife-friendly evaluation can look like.

Kiesa Kelly
Jan 176 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


ADHD Symptoms in Women: What to Know
ADHD symptoms in women often hide in plain sight: chronic overwhelm, time blindness, and burnout behind a “high-functioning” mask. Here’s how to tell traits from diagnosis and when to seek an evaluation in Tennessee.

Kiesa Kelly
Jan 37 min read
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