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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.


Intrusive Thoughts vs. Intent: Why OCD Doesn’t Mean You Want It
Last reviewed: 03/02/2026 Reviewed by: Dr. Kiesa Kelly If you live with intrusive thoughts OCD, you know how convincing they can feel: a shocking image or “what if” pops in, and your brain treats it like evidence. You don’t want the thought, but you also can’t stop analyzing it. That loop is often OCD, not a hidden desire. In this article, you’ll learn: What intrusive thoughts are (and why they happen to everyone) How OCD turns normal mental noise into an emergency Why reassu

Ryan Burns
Mar 28 min read


How Long Does OCD Treatment Take? What to Expect from ERP
Last reviewed: 03/02/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching “how long does OCD treatment take,” you’re probably hoping for a clear finish line. ERP (Exposure and Response Prevention) is a first-line, evidence-based therapy for OCD, but the timeline depends on a few predictable factors like severity, co-occurring symptoms, and how consistently you can practice between sessions. [3,4] In this article, you’ll learn: Why there’s no single ERP timeline (and what act

Ryan Burns
Mar 29 min read


What Happens in ERP Therapy? A Week-by-Week Look
Last reviewed: 03/02/2026 Reviewed by: Dr. Kiesa Kelly If you’re Googling what happens in ERP therapy, you’re probably doing something very understandable: trying to feel more certain before you start something that sounds scary. ERP (exposure and response prevention) is the most studied psychotherapy for OCD, but most people don’t get a realistic “this is what sessions actually look like” walkthrough. ERP is structured, collaborative, and paced to help you build skills, not

Kiesa Kelly
Mar 211 min read


Y-BOCS Screener: When Intrusive Thoughts Point to OCD
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly Intrusive thoughts can feel so personal that it’s easy to mistake them for proof you’re “bad,” “unsafe,” or “broken.” But the y bocs is designed to measure something very different: how much obsessive-compulsive symptoms are taking from your life. In this article, you’ll learn: What the Y-BOCS measures (and what it does not) How ybocs scoring works and how to interpret it without spiraling The difference between intrusive

Ryan Burns
Feb 279 min read


ROCD vs Relationship Anxiety: How to Tell the Difference
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly If you’re stuck in “ROCD vs relationship anxiety” questions, you’re not alone. Both can involve fear, doubt, and a strong urge to figure it out right now. The difference is that ROCD (relationship OCD) runs on intrusive doubt plus compulsive attempts to get certainty, and those attempts usually make the doubts louder over time. In this article, you’ll learn: The short answer: what makes ROCD different from relationship an

Ryan Burns
Feb 2311 min read


Y-BOCS Scoring: What Your OCD Severity Score Means
Last reviewed: 04/23/2026 Reviewed by: Dr. Kiesa Kelly Y-BOCS scores help describe OCD severity. In other words, Y-BOCS scoring is meant to be a guide, not a verdict about you. What matters most is how OCD is functioning in real life, how much it is limiting your week, and what kind of treatment support is needed next.[1][4] If you felt a rush of fear or shame after seeing a higher number, that reaction makes sense. Many people read a score and immediately start wondering wha

Kiesa Kelly
Feb 2310 min read


Mental Health Screeners 101: How to Use Screening Tools Wisely
Mental health screening tools can help you spot patterns, name what you’re experiencing, and decide on next steps. Here’s how to use screeners wisely.

Kiesa Kelly
Feb 2010 min read


Pure O and OCD Mental Compulsions: Why Screeners Can Miss It
“Pure O” can look like “just thoughts,” but OCD mental compulsions often happen silently: rumination, mental checking, reviewing, and reassurance seeking. Here’s why screeners can miss it and what to do next.

Ryan Burns
Feb 199 min read


Intrusive Thoughts vs OCD: When a Thought Becomes a Compulsion
Intrusive thoughts vs OCD can feel confusing: almost everyone has unwanted “what if?” thoughts, but OCD makes them stick and turns relief-seeking into compulsions.

Ryan Burns
Feb 198 min read


Y-BOCS Scoring: What Your OCD Severity Score Means
Confused by your y-bocs scoring results? This guide explains what the Y-BOCS measures, how severity ranges are used, and supportive next steps if OCD may be in the picture.

Kiesa Kelly
Feb 198 min read


OCD, Autism, and ADHD: Why They Co-Occur and How to Tell Apart
OCD and ADHD often show up alongside autistic traits, which can make diagnosis and treatment feel confusing. This guide explains why they co-occur, how to tell OCD compulsions from autistic routines, and how neurodiversity-affirming ERP can be adapted.

Kiesa Kelly
Feb 1212 min read


Neurodivergent-Affirming ERP for OCD: How to Make It Safer
ERP for OCD should feel safer—not easy. Learn how consent, pacing, values-based hierarchies, LGBTQIA+ affirmation, ACT-style defusion, and neurodiversity adaptations can make ERP more workable.

Ryan Burns
Feb 1011 min read


ROCD: Relationship OCD Signs, Cycle, and What Helps
ROCD (relationship OCD) can make normal relationship uncertainty feel urgent and dangerous, pulling you into “Do I really love them?” loops. This guide breaks down common ROCD symptoms, the obsession–compulsion cycle, and how ERP and I-CBT help you relate to doubts differently.

Ryan Burns
Dec 21, 20259 min read


Pure O and Mental Rituals: When Compulsions Are Invisible
Pure o ocd often looks like nonstop thinking—checking your feelings, replaying conversations, praying “until it feels right,” or debating with yourself for certainty. These mental rituals are compulsions, even when no one can see them. Here’s how to spot them and what evidence-based treatment (ERP and I-CBT) looks like.

Kiesa Kelly
Dec 21, 202514 min read


Low-Demand Therapy for PDA-Style Demand Avoidance: What It Is
If you’ve lived with PDA-profile demand avoidance (in yourself or in your child), you already know the frustrating paradox: the more someone pushes, the less it works. What looks like “refusal” or “opposition” on the outside is often an internal nervous system threat response to demands—especially when those demands feel trapping, controlling, or impossible to escape. This is where low demand therapy for demand avoidance can be a game-changer. A low-demand, autonomy-supportiv

Ryan Burns
Dec 15, 202510 min read


Questions to Ask an I-CBT Therapist Before Starting OCD Care
If you’re searching for an ICBT therapist for OCD, this guide gives you smart, compassionate questions to ask about training, approach, safety, pacing, and telehealth—so you can choose care that fits your needs and values. Use it to compare options and know what “good” looks like before your first session.

Kiesa Kelly
Dec 3, 20257 min read


Is I-CBT Right for Me? Signs This OCD Approach Fits
If you’re exploring icbt therapy for ocd, this guide explains what I‑CBT targets (doubt, rumination, mental checking), who it tends to fit best, when ERP or medication may be needed, and how to find online I‑CBT in Tennessee—so you can choose the right starting point with confidence.

Ryan Burns
Dec 3, 20258 min read


ERP for Harm OCD, ROCD, and Pure-O: How Exposures Adapt
ERP looks different for harm OCD, relationship OCD, and Pure-O. Here's how exposures adapt to the intrusive-thought content — and what a good ERP plan looks like for each subtype.

Ryan Burns
Nov 26, 202510 min read


ERP Therapy at Home: How Online ERP for OCD Works
Online ERP therapy lets you do exposure and response prevention where OCD actually shows up—at home and in daily routines—while staying connected to a qualified therapist in Tennessee. Learn how telehealth ERP sessions work, what to practice between visits, and how to stay safe and supported.

Ryan Burns
Nov 26, 202513 min read


Insomnia With Trauma, OCD, or Anxiety: Keeping Sleep on Track
🧠 Key takeaway: Insomnia can improve—even with trauma, OCD, or big anxiety in the mix—when we keep the core CBT‑I steps and add a few smart tweaks. If nights have started to feel like a second job, you’re in the right place. Many people tell us they’re exhausted, wired, and worried that their history with trauma, OCD, or anxiety means sleep is off‑limits. It isn’t. Cognitive Behavioral Therapy for Insomnia (CBT‑I) is a well‑tested approach that helps your brain relearn that

Ryan Burns
Oct 30, 20258 min read
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