SCIENCEWORKS
BEHAVIORAL HEALTHCARE
Edited and reviewed:
June 10, 2026
Reviewed by:
Complete Care for all Neurotypes
Therapy | Assessments | Coaching
JUST-RIGHT OCD & I-CBT
I-CBT for just-right OCD in Tennessee
Evidence-based I-CBT for just-right OCD and mental rituals with licensed Tennessee clinicians, by secure telehealth statewide — ease urges to repeat or redo.
Things must feel “just right” or you redo them
IS I-CBT RIGHT FOR YOU?
A good fit if any of this sounds familiar
Inference-based therapy that targets the doubt behind not-just-right feelings
Weekly telehealth sessions with a clinician who treats OCD and mental rituals
A plan to ease repeating, ordering, and covert checking
Licensed Providers
Telehealth Nationwide*
Neuro-affirming
Private & Secure
HOW I-CBT WORKS
What I-CBT is, and how it resolves just-right OCD
Inference-based cognitive behavioral therapy (I-CBT) treats OCD as a problem of obsessional doubt. In just-right OCD, the doubt is a feeling rather than a fear — a sense that something is incomplete, uneven, or simply not right, so you repeat, reorder, count, or run a mental ritual until it clicks. The relief never lasts, and the cycle resets.
Rather than drilling exposure to the discomfort, I-CBT works on the reasoning that makes the not-just-right signal feel like a command. With your therapist you map how the doubt is built from an internal sense rather than real evidence, then practice trusting that things are fine even when they don't feel finished. As that inferential confusion clears, the urge to repeat and redo loosens. Our clinicians tailor the work to symmetry, ordering, and covert mental rituals.
KEY STATISTICS ABOUT JUST-RIGHT OCD
2.3%
lifetime prevalence of OCD among U.S. adults
Source:
1 in 2
of adults with OCD have serious life impairment
Source:
WHAT TO EXPECT
A clear path, paced to you
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:
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Self-Pay: All major credit cards; FSA/HSA eligible
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Payment Plans: 6-months interest-free for approved clients via CareCredit
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Superbills Provided
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Out-of-Network: Up to 90% reimbursement for qualifying plans
WHO YOU'LL WORK WITH
Specialized OCD care, clinically reviewed
Your I-CBT for just-right OCD care is delivered by a team of licensed Tennessee providers trained in inference-based CBT (I-CBT), with experience treating symmetry, ordering, and covert mental rituals. 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
What sets our OCD care apart
As an independent, out-of-network practice, your care is shaped by what works for OCD — not by session caps or insurance rules.
You're matched with a clinician trained in inference-based CBT for OCD, using methods tested in randomized trials — not a one-size-fits-all approach.
We're 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 just-right OCD online or in person?
We deliver I-CBT for just-right OCD by secure telehealth to clients across Tennessee, and in person at our Nashville office if you prefer. Most people join online from home or any private space, so starting care never means a commute; in-person in Nashville is available on request.
Does I-CBT work for mental or covert rituals?
Yes. Mental rituals — silent counting, reviewing, or redoing things in your head — respond to I-CBT just like visible compulsions. Because the work targets the doubt that drives the ritual, it reaches the silent compulsions others never see.
How is I-CBT different from ERP for OCD?
ERP has you sit with the not-just-right discomfort while resisting the ritual. I-CBT works upstream — on the reasoning that makes the incomplete feeling seem like it must be fixed, so the urge fades without forced exposure. For many people it's a gentler way in than exposure work.
*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.