SCIENCEWORKS
BEHAVIORAL HEALTHCARE
Edited and reviewed:
June 10, 2026
Reviewed by:
Complete Care for all Neurotypes
Therapy | Assessments | Coaching
PURE-O OCD SPECIALISTS
Pure-O OCD therapy in Middle Tennessee
Specialized Pure-O OCD therapy with licensed Tennessee clinicians, by secure telehealth across Middle Tennessee — ERP and inference-based CBT.
Disturbing intrusive thoughts you can’t shake
IS PURE-O OCD THERAPY FOR YOU?
How we treat the OCD no one can see
ERP and inference-based CBT built for purely mental compulsions
Telehealth sessions with clinicians who understand Pure-O
A plan that targets rumination and reassurance, not just behavior
Licensed Providers
Telehealth Nationwide*
Neuro-affirming
Private & Secure
HOW PURE-O TREATMENT WORKS
Treating Pure-O when the rituals are all in your head
In “Pure-O,” the obsessions are loud but the compulsions are hidden: mental reviewing, silent reassurance, analyzing a thought to be sure what it “means.” Because there’s nothing to see, Pure-O is often missed for years — but it responds to the same first-line treatment as any other OCD.
Exposure and response prevention (ERP), including imaginal exposure, helps you face a feared thought without neutralizing it, so its grip fades. We pair ERP with inference-based CBT, which works on the doubt-driven reasoning that fuels obsessional OCD, plus mindfulness skills. Care is paced to you and affirming of how neurodivergent minds process intrusive thoughts.
KEY STATISTICS ABOUT OCD AND PURE-O
2.3%
of U.S. adults experience OCD in their lifetime
Source:
12.8 yrs
typical gap from first OCD symptoms to diagnosis
Source:
WHAT TO EXPECT
Easy to begin, paced to fit you
1
Free 15-minute consult.
Tell us what the thoughts are like, and ask anything — no pressure.
2
3
ERP and I-CBT in person in Nashville or by secure telehealth statewide.
You’re paired with someone who treats obsessional OCD.
Matched with a Pure-O clinician.
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
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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
Trained in obsessional OCD, supervised
Your Pure-O OCD care is delivered by licensed Tennessee providers trained in exposure and response prevention (ERP) and inference-based CBT, with real experience treating purely obsessional presentations. You’re matched with a clinician who knows Pure-O — not a generalist.
Dr. Kiesa Kelly (she/her)
Owner & Psychologist
Ryan Burns (he/him)
Practice Director
WHY CLIENTS CHOOSE SCIENCEWORKS
Specialized, independent, nonjudgmental
Because we’re independent and out-of-network, your Pure-O plan follows the evidence — not insurance caps that cut therapy short.
You’re matched with a clinician who treats obsessional OCD using ERP and inference-based CBT, informed by IOCDF guidance.
Taboo intrusive thoughts met without judgment — in person in Nashville or by secure telehealth statewide, within reach across Middle Tennessee.
FREQUENTLY ASKED QUESTIONS
Pure-O questions, answered
Is Pure-O OCD therapy online or in person?
Both. We provide Pure-O OCD therapy in person at our Nashville office, in Middle Tennessee, and by secure telehealth to adults and teens across the state. Many people find attending online from home easier for obsessional OCD; in-person in Nashville is available on request.
I have taboo intrusive thoughts — will my therapist judge me?
No. Intrusive thoughts are a symptom of OCD, not a reflection of who you are or what you want. Clinicians trained in obsessional OCD expect this content and use ERP and inference-based CBT to loosen its hold without shame.
Can therapy help if I have no visible compulsions?
Yes. Mental reviewing, reassurance-seeking, and rumination are compulsions too, even though they happen out of sight. ERP and inference-based CBT specifically target these hidden rituals, which is what makes them effective for Pure-O.
*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.