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Inference-Based CBT (I-CBT) for Relationship OCD & Reassurance Seeking in Tennessee
If you are constantly questioning your relationship, your feelings, or whether you picked the "right" partner, it can feel exhausting and lonely. At ScienceWorks Behavioral Health, we offer neurodivergent-affirming, evidence-based care for relationship OCD and reassurance seeking for adults across Tennessee.
Ready to get support? Schedule a consultation or learn how I-CBT for relationship OCD works.
You might be a good fit for I-CBT for relationship OCD if:
You replay conversations, looking for proof that you are with the wrong person or missing red flags.
You feel intense anxiety when you do not feel "in love enough" or as certain as you think you should.
You ask for reassurance again and again from friends, family, your partner, therapists, or the internet.
You spend a lot of time checking your feelings, comparing your relationship to others, or imagining breakups.
You are neurodivergent and worry that your ROCD, ADHD, or autism makes you "too much" in relationships.
Top Statistics Related to Inference-Based CBT (I-CBT) for Relationship OCD & Reassurance Seeking in Tennessee
Stat 1: 1.2%, U.S. adults, had OCD in the past year (NCS-R, 2001-2003). Source: https://www.nimh.nih.gov/health/statistics/obsessive-compulsive-disorder-ocd
Stat 2: 28.2%, U.S. adults, reported experiencing obsessions or compulsions at some time in their lives (NCS-R, 2001-2003). Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC2797569/
Stat 3: 93.6%, survey respondents, reported at least one intrusive thought in the previous 3 months (multinational sample; 2014). Source: https://jonabram.web.unc.edu/wp-content/uploads/sites/2968/2017/01/Radomsky-et-al.-2014.pdf
Stat 4: 80%-90%, relatives of OCD patients, actively participate in patients' rituals (review; 2021). Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC8572476/
Stat 5: 5.56%, Tennessee adults 18+, reported serious thoughts of suicide (NSDUH state estimate, 2022-2023). Source: https://www.samhsa.gov/data/sites/default/files/reports/rpt56188/2023-nsduh-sae-state-tables_0/2023-nsduh-sae-state-tabs-tennessee.pdf
Stat 6: 54.9%, Tennessee suicide decedents, had a current mental health problem noted as a circumstance (TNVDRS, 2020-2023). Source: https://www.tn.gov/content/dam/tn/health/pdf/TNVDRS_Suicide_Report_2023.pdf
When I-CBT for Relationship OCD Can Help
People often seek I-CBT for relationship OCD when doubt and reassurance seeking start taking over their days. If you are in Tennessee and find yourself stuck in mental loops about your partner, your feelings, or whether you should stay or leave, this service is designed for you.
Intrusive "what if" thoughts about your partner, commitment, or attraction that will not let go.
Hours lost to researching relationships, attachment styles, or ROCD online.
Endless pros-and-cons lists, checking for signs, or testing your feelings.
Frequent reassurance questions like "Are we okay?" or "Are you sure you love me?" that never feel like enough.
Jealousy, comparison, or fear of missing out on a better partner.
Breakup anxiety that shows up even when there is no clear relationship problem.
You are not broken, dramatic, or "too much." Your brain is trying very hard to protect you from uncertainty, and together we can give it better tools.
How I-CBT for Relationship OCD Works at ScienceWorks
Inference-Based CBT (I-CBT) is a specialized, research-supported approach for OCD that focuses on how intrusive doubts start and how they pull you into stories that feel real. At ScienceWorks, we combine I-CBT with CBT, attachment-informed therapy, ERP-informed CBT, and telehealth-friendly tools to support neurodivergent adults navigating relationship OCD and reassurance cycles.
What Sessions Look Like
Step 1: Mapping Your Doubt Stories
We start with a detailed assessment of your ROCD patterns, reassurance habits, attachment history, and neurodivergent traits. Together we identify the specific doubt stories your brain keeps replaying and how they hook you.
Step 2: I-CBT Formulation and Plan
Using inference-based CBT, CBT, and attachment-informed therapy, we build a clear map of how your doubts start, what keeps them going, and how we will respond differently. We adapt strategies for telehealth, sensory needs, and your energy levels.
Step 3: Active Skill Practice
In session, we practice shifting attention away from doubt stories, reducing reassurance and checking, and responding from your values. We may bring in ERP-informed CBT exercises, but always at a pace that feels tolerable and collaborative.
Step 4: Applying Skills in Real Life
Between sessions, you will try small, doable experiments in your real relationships, then debrief what worked and what did not. We focus on building trust in your own judgment, not forcing certainty you cannot honestly feel.
Our style is collaborative, non-blaming, and paced with your nervous system. We will never shame you for needing reassurance or for staying, leaving, or not being sure yet. Instead, we offer structure, curiosity, and science-based tools so you can make relationship decisions from your values, not from panic.
Who We Help in Tennessee and Across the State
ScienceWorks provides secure online I-CBT for relationship OCD to adults located anywhere in Tennessee. We especially support adults in relationships who constantly question their feelings, partner choice, or sense of being in the "right" relationship, and who are ready to try something different with their ROCD, reassurance seeking, jealousy, or breakup anxiety.
Neurodivergent adults (including ADHD and autism) navigating intense relationship doubt.
Adults in long-term relationships who fear they might secretly be with the "wrong" person.
People in newer relationships who feel overwhelmed by anxiety and constant analysis.
Partners who cycle between wanting to leave and panicking at the thought of a breakup.
People whose jealousy or comparison spirals are hurting their relationships.
All services are offered via secure telehealth. Our clinicians are licensed to work with clients who are physically located in Tennessee at the time of each session.
Why Choose ScienceWorks for I-CBT for Relationship OCD?
Neurodivergent-Affirming Relationship Care
We understand that ADHD, autism, sensory differences, and trauma can all shape how relationships feel. Our work is explicitly neurodivergent-affirming: we do not pathologize your communication style, attachment needs, or how much reassurance your brain asks for. We focus on reducing suffering, not making you look "neurotypical."
Evidence-Based ROCD Treatment
Our approach is grounded in inference-based CBT for OCD, CBT, and ERP-informed strategies, combined with attachment-informed therapy. We draw on research-backed methods while personalizing them for relationship OCD, jealousy, and reassurance seeking.
Collaborative, No-Shame Approach
We treat your doubt and reassurance patterns as understandable responses to uncertainty, not character flaws. You stay in charge of decisions about your relationship. We bring structure, ideas, and tools; you bring your lived experience, values, and goals.
Focus On Values, Not Certainty
Rather than chasing a 100 percent certainty that never lasts, we help you get clear on your values and what matters most in relationships. From there, we build skills for acting in line with those values, even when doubt is loud.
Getting Started with I-CBT for Relationship OCD in Tennessee
Starting therapy for relationship OCD can feel like one more big decision. We keep the process simple and transparent so you do not have to figure it out alone.
Reach Out
Complete the contact form at scienceworkshealth.com/contact and share a bit about what you are noticing in your relationships.We Match You
We review your information and recommend a ScienceWorks clinician or service that fits your needs, which may include I-CBT for relationship OCD, specialized therapy, or related supports like executive function coaching.Begin Sessions
In early sessions we focus on understanding your ROCD patterns, setting goals, and creating a realistic plan for reducing reassurance seeking and acting from your values.
If you are in Tennessee and ready for a different way of relating to your doubts and your relationships, we would be honored to work with you. Schedule a consultation to get started with I-CBT for relationship OCD.
FAQs About I-CBT for Relationship OCD in Tennessee
Q: Is this service online or in person?
A: All services for relationship OCD and reassurance seeking at ScienceWorks are provided via secure telehealth. You can join sessions from anywhere in Tennessee, using a private, stable internet connection.
Q: Who is eligible for this service?
A: We work with adults who are physically located in Tennessee at the time of each session. Many of our clients are neurodivergent, in committed relationships, dating, or unsure of what they want in relationships.
Q: Can I do I-CBT for relationship OCD if I also have ADHD, autism, trauma, or other OCD themes?
A: Yes. Co-occurring conditions like ADHD, autism, trauma, and other OCD themes are very common. We take a whole-person approach and may recommend additional supports, such as specialized therapy or OCD-focused care, alongside your ROCD work.
Q: How long does I-CBT for relationship OCD usually take?
A: Length of care varies, but many people work with us for several months or more. We will talk openly about goals, pacing, and finances. ScienceWorks is an out-of-network practice for most insurance plans, and we can provide superbills you may submit to your insurer if you choose.
About ScienceWorks Behavioral Health
ScienceWorks Behavioral Health is a neurodivergent-affirming practice offering therapy, psychological assessments, executive function coaching, and groups for concerns including relationship OCD, anxiety, trauma, ADHD, autism, and insomnia. Our team cares deeply about combining science-based approaches with respect for lived experience.
Learn more about our services and team at scienceworkshealth.com and explore our clinician pages at scienceworkshealth.com/meet-us-1.
