Edited and reviewed:
SCIENCEWORKS
BEHAVIORAL HEALTHCARE
Complete Care for all Neurotypes
Therapy | Assessments | Coaching
ERP Therapy for OCD in Nashville, Tennessee
OCD can feel like a loud alarm that keeps pulling you into compulsions, avoidance, or endless "what if" loops. ScienceWorks Behavioral Health offers structured, compassionate ERP therapy in Nashville, with secure Tennessee telehealth available when you are physically in Tennessee.
You might be a good fit for ERP therapy if:
Intrusive thoughts or "what if" fears keep showing up, and reassurance only helps for a moment.
Compulsions (checking, cleaning, repeating, reviewing) or mental rituals are taking up time and energy.
Avoidance is shrinking your life - places, people, tasks, or decisions feel risky.
Rumination or uncertainty loops keep you stuck, even when you know the fear does not make sense.
You want a clear exposure plan, paced support, and accountability between sessions.
Schedule a Consultation
Top Statistics Related to ERP therapy for OCD
Stat 1: g=0.74 ERP-CBT effect size for reducing OCD symptoms in a systematic review and meta-analysis (2021). Source: https://www.sciencedirect.com/science/article/pii/S0010440X21000018
Stat 2: 46% average Y-BOCS reduction after video telehealth ERP in a pilot open trial (2021). Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC10013345/
Stat 3: 72.6% treatment response among completers in a community pediatric OCD CBT study (2015). Source: https://www.cambridge.org/core/journals/psychological-medicine/article/effectiveness-of-cognitive-behavioral-therapy-for-pediatric-obsessivecompulsive-disorder-a-community-study/E3383B8B6A8BA77B53443AE481F8A040
Stat 4: 45% guided ICBT responders at the primary end point in an adult OCD randomized clinical trial (2022). Source: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2790048
Stat 5: g=-0.59 tech-delivered CBT benefit vs passive controls in a meta-analysis (2021). Source: https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-021-03272-2
Stat 6: 93.6% reported unwanted intrusions at least once in the prior three months in a nonclinical sample (2014). Source: https://www.sciencedirect.com/science/article/pii/S2211364913002550
When ERP therapy can help
People often look for ERP therapy in Nashville when OCD is creating a cycle of fear, relief-seeking, and more fear. If you are in Nashville or anywhere in Tennessee, we can work with you in-person or via telehealth to build skills and reduce the grip of OCD.
You feel driven to do things "just right" to get relief, even when it is exhausting.
You keep replaying conversations or decisions, trying to get certainty.
You avoid triggers (contamination, harm, taboo thoughts, relationships, health) and feel stuck.
You ask others to confirm you are safe, good, or not a bad person - and still doubt it.
You know your rituals are not helping long term, but stopping feels unbearable.
You want therapy that includes real practice, not only talking about OCD.
You are not broken. OCD is a learnable cycle, and ERP gives you a way to retrain your brain and nervous system with support.
How ERP therapy works at ScienceWorks
ERP (exposure and response prevention) helps you face triggers on purpose while practicing a new response - no rituals, no reassurance seeking, and no avoidance. At ScienceWorks, we pair ERP with ACT-informed skills, practical psychoeducation, and between-session exposure planning so progress is measurable and doable.
What sessions look like
Map your OCD cycle
We identify triggers, compulsions (including mental compulsions), avoidance, and the beliefs that keep the loop going.Build a paced exposure plan
Together we create an exposure hierarchy that matches your goals, your schedule, and your nervous system - not a one-size-fits-all script.Practice ERP in session and between sessions
We rehearse exposures, plan homework, and use ACT-informed skills to make room for discomfort without feeding OCD.Track progress and adjust
We measure what is changing (time spent ritualizing, avoidance, flexibility, confidence) and update the plan so you keep moving forward.
ERP works best when it is collaborative and compassionate. We move at a pace that is challenging but sustainable - with lots of coaching, problem-solving, and zero shame for being human.
Who we help in Nashville and across Tennessee
We work with adults and teens in Nashville and nearby areas who want structured, evidence-based OCD treatment. If you are located anywhere in Tennessee, secure telehealth can make OCD-specialized care accessible without a long drive.
Adults who feel stuck in compulsions, avoidance, reassurance seeking, or rumination
Teens whose OCD is impacting school, friendships, family life, or independence
High-masking clients who look "fine" on the outside but feel exhausted inside
Clients with co-occurring anxiety, trauma history, ADHD, or autism traits who want affirming care
People who want accountability and a clear plan between sessions
Services are provided by clinicians licensed in Tennessee. Telehealth is available to clients physically located in Tennessee at the time of the appointment.
Why choose ScienceWorks for ERP therapy?
In-person + TN telehealth
You can meet with us in Nashville or use telehealth anywhere in Tennessee. Either way, you get OCD-specialized support from a team that offers specialized therapy services.
Getting started with ERP therapy in Tennessee
Starting OCD treatment does not have to be a big leap. We will help you take the next right step, even if you feel unsure or anxious about reaching out.
Reach out
Use our inquiry form to share what you are dealing with and what you want to change.We match you
We help connect you with a clinician who can provide ERP therapy and the right level of structure for your needs.Begin sessions
Early sessions focus on understanding your OCD patterns, setting goals, and building your first exposure plan.
If you are looking for an ERP therapist near you in Nashville - or you live elsewhere in Tennessee - we would love to help. Start with our contact form and schedule a consultation when you are ready.
Schedule a Consultation
FAQs about ERP therapy in Tennessee
Do you offer ERP therapy in-person and online?
Yes. We offer in-person ERP therapy in Nashville, and secure telehealth for clients who are physically located in Tennessee at the time of the session.
What if I have mostly mental compulsions (rumination, reviewing, praying, counting)?
ERP can still help. We build exposures that target mental rituals and the urge to get certainty, with skills to respond differently when your mind tries to pull you back in.
Is ERP too intense?
ERP should be challenging, but it should not be cruel. We use a paced, collaborative approach so you can build confidence and follow-through without flooding or shame.
Do you take insurance?
Insurance and payment options vary. If you reach out, our team can help you understand your options and what steps to take next.
About ScienceWorks Behavioral Health
ScienceWorks Behavioral Health is a Tennessee-based practice offering neurodivergent-affirming therapy, assessments, coaching, and groups. We focus on evidence-based care that is practical, collaborative, and respectful of how real life works - especially for clients who have spent years masking, over-functioning, or feeling misunderstood.
If you want to learn more about our approach, visit our team page.
Related links
Our Specialties
Schedule your free consultation
Pick a time that works for you! We'll call you at the phone number provided.
Disclaimer: This page provides general educational information and is not a substitute for mental health diagnosis or treatment. Reading this page does not create a therapist–client relationship with ScienceWorks Behavioral Healthcare. Services are provided via telehealth to clients located in Tennessee (and other jurisdictions where our clinicians are authorized to practice); if you are outside Tennessee, contact us to confirm availability in your location. If you are in crisis or may be at risk of harm to yourself or others, call 911, go to your nearest emergency room, or call/text 988 (U.S.). Additional emergency support can be found here: Emergency Resources.