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Inference-Based CBT (I-CBT) for OCD in Tennessee
If obsessive doubts and intrusive thoughts are running your life, you are not alone. ScienceWorks Behavioral Health offers Inference-Based CBT (I-CBT) for OCD to people across Tennessee, with care that respects neurodivergent brains and nervous systems.
You might be a good fit for I-CBT for OCD if:
You spend hours stuck in your head, replaying what-ifs and worst case scenarios.
You feel driven to check, confess, pray, or mentally review until it feels "just right" but the relief never lasts.
Your OCD latches onto themes like harm, contamination, morality, or religious scrupulosity, and you worry what it says about you.
ERP has felt too intense, confusing, or impossible to do consistently, or it has not helped as much as you hoped.
You are neurodivergent and want an OCD therapist who will not shame your wiring or push one size fits all strategies.
When I-CBT for OCD Can Help
People in Tennessee often look for I-CBT for OCD when intrusive thoughts and chronic doubt start crowding out work, school, relationships, or spirituality. Instead of focusing on rituals alone, I-CBT helps you understand how your mind gets pulled into obsessive doubt in the first place.
You replay conversations for hours, searching for proof you did not offend, lie, or harm someone.
You feel intense guilt or over-responsibility and worry that normal mistakes mean you are a bad person.
You experience religious or moral scrupulosity and feel stuck in constant confession, reassurance seeking, or mental review.
You have scary, unwanted images or impulses and feel terrified they mean you are dangerous, immoral, or secretly want them.
Your OCD feels "treatment resistant," especially if ERP never quite clicked or felt like too much for your nervous system.
Anxiety, burnout, or autistic masking make it hard to tell what is OCD and what is simply how your brain works.
You want a structured, science based approach that does not require you to white knuckle through exposures before you feel ready.
You are not broken, dangerous, or defective. Your brain has learned a particular way of constructing doubt, and together we can teach it a different path.
How I-CBT for OCD Works at ScienceWorks
Inference-Based CBT (I-CBT) is an evidence based approach for OCD that focuses on the reasoning process that pulls you into obsessional doubt. At ScienceWorks Behavioral Health, we integrate inference-based CBT (I-CBT), ERP-informed CBT, CBT, and telehealth therapy to create a flexible plan that fits your neurotype, values, and daily life.
What Sessions Look Like
1. Assessment and mapping your OCD story. We learn how your obsessions, compulsions, and past treatment experiences show up, including your neurodivergent traits, sensory needs, and history with ERP or other therapies.
2. Understanding how doubt gets built. Using I-CBT, we trace how your mind shifts from real life information to imagination based possibilities, and how anxiety, trauma history, and perfectionism can amplify that shift.
3. Practicing new ways of relating to intrusive thoughts. Together we experiment with alternative inferences, concrete reasoning tools, and values based choices so you can step out of the obsessional story without needing endless reassurance or rituals.
4. Integrating behavior change at a sustainable pace. When helpful, we add ERP informed experiments that respect your autonomy, sensory limits, and identity, instead of forcing you into exposures that do not feel collaborative.
5. Generalizing skills beyond OCD. We apply what you learn to chronic doubt, over-responsibility, and anxiety in work, school, relationships, or spirituality.
We move at the pace of your nervous system, not a rigid manual. Sessions are collaborative, curious, and non shaming, with plenty of room for questions, uncertainty, and adjustments based on your energy, executive function, and sensory needs.
Who We Help in Tennessee and Across the State of Tennessee
ScienceWorks Behavioral Health provides secure online therapy to people physically located in Tennessee. We focus on neurodivergent adults and older teens living with OCD, anxiety, intrusive thoughts, chronic doubt, over-responsibility, and scrupulosity who want an I-CBT trained therapist.
Neurodivergent adults who juggle OCD with autism, ADHD, learning differences, or chronic illness.
Older teens navigating school, identity, or spirituality while wrestling with intense intrusive thoughts.
People who identify as highly sensitive, perfectionistic, or over-responsible and feel constantly on the edge of making a terrible mistake.
Clients with scrupulosity or moral OCD whose fear of doing wrong is drowning out their actual values and relationships.
Folks who have tried ERP or other therapies before and are wondering if anything can really help this level of doubt.
Our clinicians are licensed to practice in Tennessee and offer care via encrypted telehealth, so you can access treatment from home, school, or work anywhere in the state.
Why Choose ScienceWorks for I-CBT for OCD?
Neurodivergent-affirming care
Specialized I-CBT for OCD
Evidence-based and practical tools
Support for ERP hesitancy
We expect variation in attention, memory, sensory processing, and communication. We will never ask you to be less autistic, less ADHD, or less yourself in order to be less anxious.
Your therapist is trained in inference-based CBT for OCD and understands how obsessional doubt is constructed. We go beyond generic anxiety tips to target the specific reasoning process that keeps your OCD looping.
We draw from inference-based CBT (I-CBT), ERP-informed CBT, CBT, and telehealth friendly strategies so you have concrete tools you can use between sessions, not just insight in the moment.
If ERP has felt overwhelming or misattuned, we listen. I-CBT offers another evidence based route into OCD work, and when we use exposures we do so collaboratively, with your consent and input at every step.
Getting Started with I-CBT for OCD in Tennessee
Starting OCD treatment can feel intimidating, especially if you have had mixed experiences before. We keep the process clear and manageable.
1. Reach out. Use the contact form on our ScienceWorks Behavioral Health website or visit our contact page to share a bit about what you are looking for.
2. We match you. Our team reviews your information and helps connect you with a clinician who provides I-CBT for OCD and is a good fit for your needs, schedule, and preferences.
3. Begin sessions. In early meetings we clarify goals, map how OCD shows up, and begin using I-CBT tools. You will leave with practical strategies to start shifting your relationship with intrusive thoughts.
If you live anywhere in Tennessee and want a compassionate, science based approach to OCD, you are welcome here. Click the button on this page or visit our contact form to Schedule a Consultation and see whether I-CBT for OCD at ScienceWorks feels like the right next step.
FAQs About I-CBT for OCD in Tennessee
Q: Is I-CBT for OCD offered online or in person?
A: At this time, I-CBT for OCD at ScienceWorks Behavioral Health is provided via secure telehealth for clients physically located in Tennessee. You can attend sessions from home, work, or school using a private device and internet connection.
Q: Who is a good fit for this service?
A: We primarily work with neurodivergent adults and older teens who experience OCD, intrusive thoughts, chronic doubt, over-responsibility, or scrupulosity. Many of our clients also live with ADHD, autism, anxiety, trauma histories, or chronic health conditions, and we welcome these complexities in the work.
Q: What if ERP has not worked for me or feels too scary?
A: That is very common. I-CBT does not require you to jump into high intensity exposures on day one. We focus first on how your mind builds obsessional doubt and only add ERP informed experiments when they feel collaborative and meaningful to you.
Q: How long does I-CBT for OCD usually take, and do you take insurance?
A: Length of treatment varies based on severity of OCD, co occurring conditions, and your goals. Some people work with us for a few months, while others prefer longer term support. ScienceWorks Behavioral Health is an out of network provider for most insurance plans; we can provide documentation you may be able to submit for reimbursement, and we are happy to talk through fees and options before you commit.
About ScienceWorks Behavioral Health
ScienceWorks Behavioral Health is a neurodivergent affirming practice offering therapy, psychological assessments, coaching, and groups for people navigating OCD, anxiety, intrusive thoughts, trauma, insomnia, and executive function challenges. We combine solid research with deep respect for lived experience so your care is both evidence based and genuinely personalized. To explore more of what we offer, you can visit our pages on specialized therapy, psychological assessments, OCD treatment, and groups.
Learn more about our team, including Dr. Kiesa Kelly and other clinicians, at scienceworkshealth.com.
