SCIENCEWORKS
BEHAVIORAL HEALTHCARE
Edited and reviewed:
June 10, 2026
Reviewed by:
Complete Care for all Neurotypes
Therapy | Assessments | Coaching
HARM OCD & I-CBT CARE
I-CBT for harm OCD in Tennessee
Evidence-based I-CBT for harm OCD with licensed Tennessee clinicians, by secure telehealth statewide — ease intrusive harm thoughts without exposure work.
Intrusive thoughts about harming someone you love
IS I-CBT RIGHT FOR YOU?
A good fit if any of this sounds familiar
Inference-based therapy that targets the doubt behind harm thoughts, not exposure
Weekly telehealth sessions with a clinician who specializes in OCD and I-CBT
A structured plan that rebuilds trust in your own senses and intentions
Licensed Providers
Telehealth Nationwide*
Neuro-affirming
Private & Secure
HOW I-CBT WORKS
What I-CBT is, and how it resolves harm OCD
Inference-based cognitive behavioral therapy (I-CBT) treats OCD as a problem of obsessional doubt. With harm OCD, an intrusive thought — “what if I lost control and hurt someone?” — gets treated as a real possibility, even though it contradicts everything you actually feel, value, and intend.
Rather than having you face the thoughts head-on, I-CBT works upstream on the reasoning that makes the doubt feel convincing. With your therapist you map how the harm story is built from imagination and a mistrust of your own senses — then practice trusting what is real over what is merely possible. As that inferential confusion clears, the thoughts stop demanding checking, avoidance, and reassurance. At ScienceWorks we adapt I-CBT for neurodivergent clients and co-occurring anxiety.
KEY STATISTICS ABOUT HARM OCD
94%
of people have unwanted intrusive thoughts
Source:
1 in 2
of adults with OCD have serious life impairment
Source:
2.3%
lifetime prevalence of OCD among U.S. adults
Source:
WHAT TO EXPECT
Starting I-CBT is simpler than you fear
1
Free 15-minute consult.
We learn what's going on and answer your questions — no pressure.
2
3
Structured I-CBT by secure telehealth statewide, or in person in Nashville.
You're paired with a clinician trained in I-CBT for OCD.
Matched with an OCD specialist.
Weekly telehealth sessions.
Payment options
As a specialty practice, we're out-of-network so we can offer the most effective, customized services.
Our payment options are transparent and flexible:
-
Self-Pay: All major credit cards; FSA/HSA eligible
-
Payment Plans: 6-months interest-free for approved clients via CareCredit
-
Superbills Provided
-
Out-of-Network: Up to 90% reimbursement for qualifying plans
WHO YOU'LL WORK WITH
Licensed OCD clinicians, supervised care
Your I-CBT for harm OCD care is delivered by a team of licensed Tennessee providers with specialized training in inference-based CBT (I-CBT) and experience supporting people with intrusive harm thoughts. We match you with a clinician experienced in OCD — not a generalist.
Dr. Kiesa Kelly (she/her)
Owner & Psychologist
Ryan Burns (he/him)
Practice Director
WHY CLIENTS CHOOSE SCIENCEWORKS
Why people choose ScienceWorks for OCD
Because we're independent and out-of-network, your care follows what actually works for OCD — not insurance limits or session caps.
You're matched with a clinician trained in inference-based CBT for OCD, using methods tested in randomized trials — not a generalist approach.
Care is neurodivergent-affirming — by secure telehealth statewide, with in-person visits at our Nashville office when you prefer them.
FREQUENTLY ASKED QUESTIONS
Common questions
Is I-CBT for harm OCD available online or in person?
ScienceWorks provides I-CBT for harm OCD by secure telehealth to clients anywhere in Tennessee, and in person at our Nashville office if you prefer. Most clients choose online sessions — attend from home, work, or school, with no travel; in-person visits in Nashville are available on request.
Does having harm OCD mean I'm dangerous?
No. Harm OCD thoughts are unwanted and go against your values — they reflect fear, not intent. People with harm OCD are not more dangerous than anyone else; the distress comes from how badly you don't want the thoughts. I-CBT helps you treat them as false alarms, not warnings.
How is I-CBT different from ERP for OCD?
ERP has you face triggers while resisting compulsions. I-CBT works upstream — it targets the faulty reasoning that makes the harm doubt feel real, so the obsession loses its grip without exposure exercises. Many people find it a more approachable place to start.
*Therapy and assessments available in the following states (coaching available worldwide):
Work with us locally:
AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IA, IL, IN, KS, KY, ME, MD, MI, MN, MS, MO, NE, NV, NH, NJ, NC, ND, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY
2603 Elm Hill Pike, Suite C
Nashville, TN 37214
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. 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.