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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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ERP Not Working? Pacing, Fit & What to Try 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


Y-BOCS Scoring: What Your OCD Severity Score Means
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


Medical Trauma vs Health Anxiety: How to Tell Them Apart
Last reviewed: 03/10/2026 Reviewed by: Dr. Kiesa Kelly Medical trauma therapy is for the moments when your body reacts like danger is back in the room, even though you’re “just” scheduling an appointment, waiting for results, or noticing a new symptom. If your nervous system now treats healthcare (or your own body) as a threat, you’re not imagining it, and you’re not alone. Research has documented posttraumatic stress symptoms after medical illness and treatment, including in
Kiesa Kelly
Mar 109 min read


ADHD or Anxiety? How Therapy Changes by the Real Driver
Last reviewed: 03/10/2026 Reviewed by: Dr. Kiesa Kelly If you’ve been asking yourself “Is it ADHD or anxiety?” you’re not alone. The overlap is real, especially for high-achieving adults who have learned to power through until they can’t. The good news is that once therapy targets the true driver, things often feel clearer and more workable. In this article, you’ll learn: Why ADHD vs anxiety symptoms can look nearly identical day to day Signs ADHD may be the first domino (eve
Kiesa Kelly
Mar 109 min read


Rejection Sensitive Dysphoria: Therapy for Shame Spirals
Last reviewed: 03/10/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for rejection sensitive dysphoria therapy, you may be living with a pattern that feels like this: one small moment of feedback lands like a verdict, and your brain instantly jumps to “I ruined everything” or “they hate me.” You might know, logically, that the situation is probably fixable, but your body has already hit panic, shutdown, or shame. Rejection sensitivity (and the ADHD shame spirals that of
Ryan Burns
Mar 109 min read


ADHD, Autism, OCD, or Trauma? Therapy When It Overlaps
Last reviewed: 03/10/2026 Reviewed by: Dr. Kiesa Kelly If you’ve been cycling through possibilities like ADHD, autism, OCD, and trauma, you’re not alone. Many struggles show up as the same “surface symptoms,” which is why therapy for overlapping symptoms can help even when you’re not ready to claim one label. In this article, you’ll learn: Why overlapping symptoms are so confusing Common patterns people mix up (and what clinicians listen for) What therapy can do before you ha
Ryan Burns
Mar 108 min read


When Intrusive Thoughts Start to Feel Constant
Last reviewed: 03/04/2026 Reviewed by: Dr. Kiesa Kelly If you’re dealing with constant intrusive thoughts, it can feel like your brain is stuck on a station you never chose. The thoughts may be disturbing, “out of character,” or just plain exhausting. And the harder you try to make them stop, the louder they can seem. In this article, you’ll learn: Why intrusive thoughts can multiply when you pay them extra attention How rumination and other mental rituals can keep thoughts “
Ryan Burns
Mar 59 min read


Moral OCD: Why It Feels Like a Moral Problem (But Isn't)
Last reviewed: 03/04/2026 Reviewed by: Dr. Kiesa Kelly Moral OCD can turn ordinary doubts into a gut-level fear: “What if I’m a bad person?” If you live with moral OCD, the distress often isn’t only about what might happen but about what it might mean about you. That’s why it can feel like a moral emergency instead of “just anxiety.” In this article, you’ll learn: Why OCD morality intrusive thoughts feel so personal How guilt and hyper-responsibility keep the loop going What
Ryan Burns
Mar 513 min read


How to Accept Uncertainty in OCD Instead of Chasing It
Last reviewed: 03/04/2026 Reviewed by: Dr. Kiesa Kelly If you’re working on accepting uncertainty OCD, it can sound like someone is asking you to “be okay” with the one thing your brain treats as intolerable: not knowing. But in evidence-based OCD treatment, acceptance is not a mindset you force. It’s a response you practice. In this article, you’ll learn: Why OCD demands absolute certainty (and why that promise never lasts) What “acceptance” means (and what it does not mean)
Ryan Burns
Mar 59 min read
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