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SCIENCEWORKS
BEHAVIORAL HEALTHCARE

Edited and reviewed:

June 10, 2026

Complete Care for all Neurotypes
Therapy | Assessments | Coaching

Reviewed by:

OCD & I-CBT SPECIALISTS

Inference-Based CBT (I-CBT) for OCD in Tennessee

Inference-based CBT helps you resolve the obsessional doubt that fuels OCD — without forced exposure — by secure telehealth anywhere in Tennessee.

Is this you?

You check or seek reassurance, but it never sticks

Exposure-based therapy felt too overwhelming to try

Intrusive doubts and “what if” fears loop for hours

IS I-CBT RIGHT FOR YOU?

What I-CBT with us looks like

Structured I-CBT that targets the faulty reasoning behind your obsessions

Weekly telehealth sessions with a clinician trained in inference-based CBT

A collaborative plan that rebuilds trust in your senses, without forced exposure

Before you begin

I-CBT works best when you’re ready to practice the reasoning skills between sessions. It’s collaborative and paced with you — never forced.

Licensed Providers

Telehealth Nationwide*

Neuro-affirming

Private & Secure

HOW I-CBT WORKS

What I-CBT is, and how it works for OCD

Inference-based cognitive behavioral therapy (I-CBT) is an evidence-based treatment for OCD that targets the reasoning behind obsessions rather than the anxiety they cause. It starts from a simple idea: an obsessional doubt — “what if my hands are still dirty?” — is built by faulty reasoning that trusts an imagined possibility over what your senses actually tell you.


In sessions you learn to spot that moment of “inferential confusion” and step back to reality before the compulsion takes over. Because the work is on the reasoning, not on provoking fear, I-CBT does not rely on exposure. At ScienceWorks we adapt it for neurodivergent clients and complex presentations, drawing on inference-based CBT, traditional CBT, and mindfulness-based strategies — structured, but never one-size-fits-all.

KEY STATISTICS ABOUT OCD AND I-CBT

2.3%

lifetime prevalence of OCD among U.S. adults

Source:

On par

with standard CBT for OCD in a head-to-head trial

Source:

12.8 yrs

average time from OCD symptom onset to diagnosis

Source:

Not sure where to start?

WHAT TO EXPECT

Simple to start, structured throughout

1

Free 15-minute consult.

We learn what’s going on and answer your questions — no pressure.

2

3

Structured I-CBT on a secure video platform, anywhere in Tennessee.

You’re paired with a clinician trained in inference-based CBT.

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; FAS/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

Specialized, supervised, clinically reviewed

Your I-CBT for OCD care is delivered by licensed providers with specialized training in inference-based CBT and experience supporting neurodivergent clients. We match you with a clinician experienced in OCD — not a generalist.

kiesaryanheadshots4_edited.jpg

Dr. Kiesa Kelly (she/her)
Owner & Psychologist

Ryan Burns (he/him)
Practice Director

WHY CLIENTS CHOOSE SCIENCEWORKS

Independent, specialized, neurodivergent-affirming

Because we’re independent and out-of-network, your care is driven by what actually works for your OCD — not by insurance limits or session caps.

You’re matched with a clinician trained in inference-based CBT for OCD — a specialized approach, not a generalist’s best guess.

Care is neurodivergent-affirming and delivered by secure telehealth across Tennessee, so specialized OCD treatment reaches you wherever you are.

FREQUENTLY ASKED QUESTIONS

Common questions

Is I-CBT for OCD available online or in person?

ScienceWorks provides I-CBT for OCD entirely online by secure telehealth, to adults and teens located in Tennessee during sessions. There’s no in-person option, which lets you attend from home, work, or school — wherever you’re most comfortable — and removes travel as a barrier to starting care.

How is I-CBT different from exposure therapy (ERP)?

Unlike exposure and response prevention, I-CBT doesn’t ask you to provoke anxiety. It works on the reasoning that makes an obsessional doubt feel real, so the doubt loses its grip. Many people who found ERP too overwhelming do well with this approach.

Does I-CBT work if I also have ADHD, autism, or anxiety?

Yes. I-CBT can be adapted for co-occurring conditions and paced carefully, drawing on complementary strategies as needed. We review fees, scheduling, and any out-of-network reimbursement options before you commit to ongoing sessions.

READY WHEN YOU ARE

Take the first step toward quieting the doubt

A free 15-minute consult is the easiest way to start. No obligation.

*Therapy and assessments available in the following states (coaching available worldwide):

AL, AZ, AR, CA, 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

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. S 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.

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