Edited and reviewed:
Dec 18, 2025
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Relationship OCD Treatment (ROCD Therapy) in Tennessee
ROCD can make love feel like a test you have to pass. ScienceWorks Behavioral Health offers neurodivergent-affirming ROCD treatment for adults and teens in Tennessee via secure online therapy.
This is for you if:
You get stuck in "what if I do not love them?" loops that do not resolve.
You feel driven to ask for reassurance or mentally review proof of your feelings.
You check attraction, chemistry, or compatibility and then doubt the result.
Jealousy spirals or cheating fears flare up, even when nothing is actually wrong.
You fear choosing the wrong partner and avoid commitment, closeness, or milestones.
Top Statistics Related to ROCD treatment in Tennessee
1.2% US adults had OCD in the past year (2001-2003). Source: https://www.nimh.nih.gov/health/statistics/obsessive-compulsive-disorder-ocd
93.6% reported an intrusion in the prior three months (2014). Source: https://jonabram.web.unc.edu/wp-content/uploads/sites/2968/2015/01/IITIS-Part-1-2014.pdf
50-60% improve after ERP among people who complete treatment (2019). Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC6935308/
10.24% ERP dropout rate in youth OCD trials (2020). Source: https://pure.johnshopkins.edu/en/publications/a-meta-analysis-of-dropout-rates-from-exposure-with-response-prev/
62.9% response rate in video ERP in a large teletherapy sample (2022). Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC9164091/
0.75 more tolerable I-CBT vs standard CBT at posttreatment (2024). Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC11614422/
Does this sound like ROCD?
Relationship OCD (ROCD) is a form of OCD where intrusive doubt targets your relationship. The thoughts can feel urgent and high-stakes, but the urgency is part of the OCD loop.
ROCD treatment may be a good next step if you notice:
Endless mental debates about whether you are truly in love or truly attracted.
Compulsive reassurance seeking (from your partner, friends, family, or online).
Checking compulsions: scanning feelings, testing attraction, rereading texts, or comparing.
Rumination that steals your focus at work, school, or when you are trying to relax.
Avoidance of intimacy, commitment, or important decisions because you need certainty.
If any of this feels familiar, you are not broken. ROCD is treatable, and you can learn to respond to doubt without turning your relationship into a constant inspection.
How ROCD therapy works
We use evidence-based OCD treatment to target the cycle: intrusive thoughts, rumination, and compulsions like reassurance seeking and checking. Depending on your needs, we may use inference-based CBT (I-CBT), ERP (exposure and response prevention), and ACT-informed skills.
What you can expect
Map the ROCD cycle
Identify triggers, intrusive doubts, and the compulsions that keep the loop going.Clarify ROCD vs relationship anxiety
Separate normal uncertainty from OCD-driven patterns like compulsive checking and mental reviewing.Choose a treatment track
Use I-CBT, ERP, or a blended approach based on your theme, nervous system, and learning style.Practice new responses to doubt
Reduce reassurance and checking while building skills for uncertainty, values, and self-trust.Maintain gains
Create a plan for setbacks, relationship transitions, and long-term relapse prevention.
This work is collaborative and paced. We keep it neurodivergent-affirming, structured, and practical, with consent and flexibility built in.
Who ROCD treatment is for
We work with adults and teens across Tennessee who feel stuck in relationship doubt loops, reassurance seeking, checking, or jealousy spirals. ROCD can show up in any kind of relationship and at any stage.
People who ruminate for hours about love, attraction, or compatibility.
Clients who feel compelled to ask questions, confess, or seek certainty.
Neurodivergent clients (ADHD/autistic) who want therapy that fits their brain.
People with jealousy-themed OCD, cheating fears, or constant comparison.
Clients who avoid closeness or commitment because doubt feels unbearable.
Secure telehealth is available for clients physically located in Tennessee, including Nashville and surrounding areas.
Why ROCD feels so convincing
Next steps to get started
If you are ready to stop negotiating with doubt and start living your relationship, here is a simple way to begin.
Schedule a consult
Share what you are noticing and what you want to be different.Get a clear plan
We will map your ROCD cycle and choose an approach that fits (I-CBT, ERP, or blended).Start therapy
Build skills, practice new responses, and track progress without feeding compulsions.
Ready to start? Schedule a consultation and tell us you are looking for ROCD treatment in Tennessee.
Frequently asked questions
Is this ROCD or relationship anxiety?
Both can include worry. ROCD usually includes intrusive doubts plus compulsions like reassurance seeking, checking feelings, or mental reviewing. In a consult, we help you map your pattern and choose the right treatment track.
Will you tell me if I should stay or leave?
We will not act as a judge of your relationship. ROCD treatment focuses on reducing compulsions and helping you make choices from your values, with clearer access to your real preferences.
Do I have to do exposures?
ERP is one option, and exposures are always collaborative and paced. If ERP is not a fit right now, I-CBT can be another evidence-based path that targets the doubt process without relying on reassurance.
Can ROCD therapy work online in Tennessee?
Yes. Telehealth lets us practice skills where triggers actually happen and build a plan to reduce reassurance and checking in real time.
About ScienceWorks Behavioral Health
ScienceWorks Behavioral Health is a Tennessee-based practice offering neurodivergent-affirming, evidence-based therapy. We provide specialized OCD treatment, including ROCD therapy, with secure telehealth across Tennessee.
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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. Services are provided via telehealth to clients located in Tennessee (and other jurisdictions where our clinicians are authorized to practice); if you are outside Tennessee, contact us to confirm availability in your location. 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.