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News and Research
Science-backed Information for Better Care
ScienceWorks is a modern telepsychology practice offering evidence-based care for: Autism & ADHD, Anxiety & Depression, OCD, Trauma, Insomnia, Kids & Families, and more.
These conditions frequently co-occur, can be difficult to diagnose, and also difficult to treat - often requiring specialist knowledge and direct clinical experience to achieve the best possible outcomes.
That's why research and training are the foundation of our work.
Our goal is sharing our knowledge with our friends, clients, and partners to build a stronger, more informed mental health community.
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OCD
Stay informed about OCD and related conditions with news and updates from clinical experts. Scientific information, evidence-based treatments, and more.


Need OCD Help? What Counts as Support and When to Seek ERP
Last reviewed: 03/28/2026 Reviewed by: Dr. Kiesa Kelly If you have been searching for OCD help, you may already know that not all support does the same work. Some support helps you understand the pattern. Some is specific treatment that targets the obsession-compulsion cycle itself. The goal is not to prove you are “sick enough.” It is to notice when intrusive thoughts, rituals, avoidance, or reassurance-seeking are taking too much room in your life.[1-3] In this article, you

Ryan Burns
Mar 288 min read


Types of OCD That Don't Look Stereotypical: Harm, Moral, ROCD, Pure O
Last reviewed: 03/28/2026 Reviewed by: Dr. Kiesa Kelly When people picture types of OCD, they often imagine visible rituals, handwashing, or obvious checking. But many people live with OCD that looks quieter from the outside. The struggle may center on intrusive thoughts, invisible mental rituals, or constant doubt about safety, morality, or relationships. That is one reason people can spend years thinking they “just have anxiety” when they are actually caught in an obsessive

Ryan Burns
Mar 288 min read


Couples Therapy in Brentwood TN for ADHD, Autism, and OCD
Last reviewed: 03/25/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for couples therapy Brentwood TN, generic advice to “communicate better” may feel too simple. In many relationships, the repeating fight is less about love and more about a mismatch in processing speed, sensory needs, executive function, or OCD-driven reassurance loops.[1][2][3][6][7][8] In this article, you’ll learn: why some “communication problems” are really nervous-system and processing problems w

Ryan Burns
Mar 258 min read


Online Therapy in Tennessee: Is Telehealth a Good Fit for You?
Last reviewed: 03/25/2026 Reviewed by: Dr. Kiesa Kelly If you are looking for online therapy Tennessee options, the question is usually not whether telehealth is “real therapy.” It is whether this format will help you get the right care and stay engaged with it. Teletherapy has been shown to have outcomes similar to in-person therapy, and federal telehealth guidance notes that many behavioral health services can be provided virtually in a private space.[1,2] In this article,

Ryan Burns
Mar 258 min read


OCD Therapy in Chattanooga: Treatment Beyond Reassurance
Last reviewed: 03/25/2026 Reviewed by: Dr. Kiesa Kelly If you are searching online for “OCD therapy Chattanooga,” it makes sense to start with who is nearby. But with OCD, the more important question is often who knows how to treat the cycle. OCD can look like anxiety, guilt, indecision, or overthinking, yet effective care usually depends on recognizing obsessions, compulsions, avoidance, and reassurance-seeking for what they are.[1-4] In this article, you’ll learn: why OCD o

Ryan Burns
Mar 258 min read


ERP Therapy in Nashville: What to Know Before OCD Treatment
Last reviewed: 03/25/2026 Reviewed by: Dr. Kiesa Kelly If you are searching for ERP therapy Nashville options, you are probably not looking for vague encouragement. You are trying to figure out whether a therapist actually understands OCD, whether they use exposure and response prevention in a real way, and whether the process will feel thoughtful rather than overwhelming. That matters, because OCD treatment is most effective when it targets the obsession-compulsion cycle dir

Kiesa Kelly
Mar 2510 min read


How to Find an OCD Therapist in Nashville: ERP and Fit
Last reviewed: 03/23/2026 Reviewed by: Dr. Kiesa Kelly If you have been typing “ocd therapist nashville” into search bars and still feel unsure who is actually qualified, you are not alone. OCD treatment can look very different from general anxiety therapy, and the best fit often depends on whether the clinician truly uses ERP, how they handle reassurance, and whether local or online care fits your life.[1][2][7] In this article, you’ll learn: why general anxiety therapy is n

Ryan Burns
Mar 238 min read


Why Does OCD Feel So Real? Doubt, Reassurance, and ERP
Last reviewed: 03/23/2026 Reviewed by: Dr. Kiesa Kelly If you have found yourself asking, “why does OCD feel so real?” you are not missing something obvious, and you are not secretly agreeing with the fear. OCD often feels convincing because it targets threat, responsibility, doubt, and uncertainty in a way that pulls both your body and your attention into alarm mode. Insight can matter, but insight alone does not always quiet the signal.[1-4] In this article, you’ll learn: w

Kiesa Kelly
Mar 239 min read


OCD, Autism, and ADHD Overlap: Finding a Therapist in Tennessee
Last reviewed: 03/19/2026 Reviewed by: Dr. Kiesa Kelly If you searched “ocd autism adhd therapist tennessee,” you are probably not looking for generic anxiety treatment. You are trying to figure out why your brain feels stuck, overloaded, ashamed, or misunderstood, and why past therapy may have helped around the edges without touching the real problem. That makes sense. OCD, autism, and ADHD can overlap in ways that blur the picture, and the differences matter because the rig

Ryan Burns
Mar 209 min read


Demand Avoidance in ADHD: What Therapy Actually Helps
Last reviewed: 03/19/2026 Reviewed by: Dr. Kiesa Kelly If you are looking for demand avoidance ADHD therapy, you may already know the feeling: you want to answer the email, start the form, or open the project, and your whole system seems to hit the brakes. It often feels less like procrastination and more like dread, paralysis, irritability, or shutdown. In ADHD, that can happen when task initiation, executive dysfunction, and stress load pile up at the same time.[1-4] In thi

Ryan Burns
Mar 209 min read


What ERP Therapy for OCD in Tennessee Looks Like
Last reviewed: 03/19/2026 Reviewed by: Dr. Kiesa Kelly If you are searching for ERP therapy in Tennessee because basic OCD education is no longer enough, what usually helps next is a clearer picture of treatment. Exposure and response prevention, or ERP, is a structured, collaborative therapy for obsessions and compulsions. It helps you face triggers and resist rituals so OCD stops running the show. Research and clinical guidelines consider CBT with ERP a first-line treatment

Kiesa Kelly
Mar 198 min read


Compare Private Pay Psychological Assessment Options
Last reviewed: 03/14/2026 Reviewed by: Dr. Kiesa Kelly If you are comparing a private pay psychological assessment because the local wait is stretching toward six months, you probably want more than a quick label. You want a useful answer, a realistic next step, and a process that respects your time and budget. A strong evaluation should help sort out whether ADHD, autism, OCD, trauma, sleep problems, anxiety, depression, or something else fits best, and why.[1][2][5] In this

Ryan Burns
Mar 158 min read


Washington Telehealth: Online ADHD, Autism, and OCD Assessment
Last reviewed: 03/14/2026 Reviewed by: Dr. Kiesa Kelly If you are searching for telehealth psychological assessment Washington options, you are probably balancing two priorities: faster access and real depth. At ScienceWorks, we know many adults are not looking for a shortcut. They want answers sooner, but they also want an evaluation that is thoughtful, nuanced, and genuinely useful. A strong online evaluation is not thorough because it is virtual. It is thorough because the

Ryan Burns
Mar 158 min read


OCD Assessment in Tennessee: What Happens Before ERP
Last reviewed: 03/12/2026 Reviewed by: Dr. Kiesa Kelly If you have been searching for OCD assessment options that can be provided before treatment starts, it can help to know what a good evaluation is actually meant to do. The goal is not to slow you down. The goal is to make sure the next step, whether that is ERP, I-CBT, a medication consult, or another support, is built around the right problem from the start. In this article, you’ll learn: when intrusive thoughts, rituals

Ryan Burns
Mar 1310 min read


Reassurance OCD: Why It Doesn't Work and What Does
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly If you’re stuck in reassurance OCD, you probably know the pattern: you ask, check, Google, or replay the question in your head, feel better for a moment, and then the doubt comes roaring back. That doesn’t mean you’re doing OCD “wrong.” It means the relief itself is part of what keeps the loop going. In this article, you’ll learn: What reassurance seeking can look like (including the silent, mental version) Why reassuranc

Ryan Burns
Mar 1112 min read


OCD, ADHD, and Autism: How Specialized Therapy Changes the Plan
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly When OCD / ADHD / autism overlap, it can feel like you’re trying to solve the wrong problem. You may be working hard on anxiety skills, routines, or productivity, but the stuck part stays stuck. That’s often a sign OCD is driving the plan, even if it doesn’t look like “classic” OCD. In this article, you’ll learn: How OCD can mimic (or hide behind) autism and ADHD traits Why executive function and sensory load can make sta

Ryan Burns
Mar 118 min read


Why ERP Didn't Work Before: Pacing, Fit, and What's Next
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly If you’re thinking, “ERP didn’t work for me,” you’re not alone. Many people try Exposure and Response Prevention (ERP) for OCD, feel overwhelmed or misunderstood, and leave believing they “failed” treatment. In reality, ERP therapy not working often points to a pacing problem, a planning problem, or a provider-fit problem, not a character flaw. In this article, you’ll learn: Why a bad-fit experience can create shame (and

Ryan Burns
Mar 1110 min read


High Y-BOCS Score? Understanding Y-BOCS score meaning, next steps, and when to seek specialized OCD therapy
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly A high number on the Y-BOCS can feel alarming. If you’re searching for y-bocs score meaning, you probably want clarity about severity and a path to help, without getting pulled into more reassurance-seeking. In this article, you’ll learn: What the Y-BOCS measures (and what it doesn’t) How score ranges are typically interpreted When it’s time for OCD-specialized care What treatment planning can look like after a high score

Ryan Burns
Mar 117 min read


Online OCD Therapy in Tennessee: Does Telehealth ERP Work?
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for online OCD therapy in Tennessee, you might be wondering a very practical question: can exposure and response prevention (ERP) really happen over video, and does it actually help? For many people, yes, when telehealth is structured well and you’re working with a licensed OCD therapist in Tennessee who has OCD-specific training. Research on remotely delivered CBT for OCD (including video, phone, and.

Ryan Burns
Mar 118 min read


OCD Therapy in Tennessee: What the First Month of ERP Looks Like
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly Starting OCD therapy can feel like signing up for a month of panic. Many people delay because they assume they’ll be thrown into the hardest exposure on day one, or that therapy will turn into endless reassurance seeking. Most evidence-based OCD treatment is more structured, gradual, and collaborative than that. In this article, you’ll learn: What typically happens before treatment officially starts What your first OCD th

Ryan Burns
Mar 117 min read
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