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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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Reassurance OCD: Why You Still Don’t Feel Better and What Therapy Does Instead
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 reassuran

Ryan Burns
Mar 119 min read


ROCD Therapy: When Relationship Anxiety Has Become an OCD Cycle
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly ROCD therapy helps when relationship doubt stops feeling like “normal uncertainty” and starts acting like an OCD loop: intrusive questions, intense anxiety, and compulsions (reassurance seeking, checking, comparing) that briefly soothe you but strengthen the doubt long term.[1-3] In this article, you’ll learn: How ROCD vs relationship anxiety usually shows up The reassurance and checking behaviors that keep the cycle goin

Ryan Burns
Mar 116 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 st

Ryan Burns
Mar 117 min read


I Keep Researching My Symptoms but Still Feel Stuck: When It’s Time to Move From Self-Education to Therapy
Last reviewed: 03/10/2026 Reviewed by: Dr. Kiesa Kelly If you’ve been asking yourself when to start therapy , you’re not alone. For a lot of thoughtful, motivated people, learning about mental health becomes a form of self-care at first, and then slowly turns into hours of searching, second-guessing, and trying to “figure it out” before you’re allowed to get help. In this article, you’ll learn: Why self-education can be helpful and also quietly exhausting Signs your research

Ryan Burns
Mar 108 min read


ADHD or Anxiety? How Therapy Changes Depending on 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 108 min read


Pathological demand avoidance treatment: when demand avoidance needs a different therapy approach
Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for pathological demand avoidance treatment , you may already know the frustrating paradox: the more someone feels pressured to “just do it,” the more their nervous system locks up. That pattern can show up in kids, teens, and adults and often co-occurs with ADHD, autism, anxiety, trauma, or a mix of them. In this article, you’ll learn: Why demand avoidance is often a stress response, not “attitude” Ho

Kiesa Kelly
Mar 97 min read


Adult ADHD Therapy for Overwhelm, Freeze, and “Small Task” Paralysis
Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly For many adults, adult ADHD therapy is less about “trying harder” and more about changing the conditions that make action possible: lowering friction, reducing shame, and building systems that fit an ADHD nervous system. In this article, you’ll learn: Why overwhelm and freezing are common ADHD patterns (not a character flaw) What therapy targets when “small task paralysis” is the main problem ADHD-friendly strategies you

Kiesa Kelly
Mar 96 min read


When Constant 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 58 min read


Why OCD Feels So Convincing: How OCD Can Feel Real (Even When You Know It’s Irrational)
Last reviewed: 03/04/2026 Reviewed by: Dr. Kiesa Kelly OCD has a frustrating superpower: it can make a thought feel like a warning, a feeling feel like proof, and doubt feel like a problem you must solve right now. That “I know it’s irrational, but it still feels true” experience is a big part of why ocd feels real. In this article, you’ll learn: Why OCD thoughts can register like threats instead of “just thoughts” How anxiety turns attention into a magnifying glass Why logic

Ryan Burns
Mar 57 min read


Why OCD Feels So Convincing: Why OCD Feels Real (Even When You Know It’s Irrational)
Last reviewed: 03/04/2026 Reviewed by: Dr. Kiesa Kelly OCD has a frustrating superpower: it can make a thought feel like a warning, a feeling feel like proof, and doubt feel like a problem you must solve right now. That “I know it’s irrational, but it still feels true” experience is a big part of why ocd feels real. In this article, you’ll learn: Why OCD thoughts can register like threats instead of “just thoughts” How anxiety turns attention into a magnifying glass Why logic

Ryan Burns
Mar 57 min read


Why OCD Gets Worse Under Stress: Understanding Flare-Ups and Relapse Triggers
Last reviewed: 03/04/2026 Reviewed by: Dr. Kiesa Kelly If you’ve ever wondered why OCD gets worse under stress, you’re not imagining it. Stress doesn’t “create” OCD out of nowhere, but it can turn the volume up on intrusive thoughts, anxiety, and compulsions, leading to OCD flare ups that feel sudden and intense. [1,2] In this article, you’ll learn: Why stress makes OCD feel more urgent Common ocd relapse triggers during busy or uncertain seasons Why compulsions and reassuran

Ryan Burns
Mar 57 min read


Why Trying to “Figure Out” Intrusive Thoughts Keeps People Stuck in Rumination OCD
Last reviewed: 03/04/2026 Reviewed by: Dr. Kiesa Kelly If you live with rumination OCD, you may feel like you’re doing the responsible thing: carefully thinking through an intrusive thought until it makes sense. But that “one more round” of overthinking intrusive thoughts can quietly become a compulsion, keeping the obsession active and training your brain to treat uncertainty like an emergency. In this article, you’ll learn: What rumination looks like in OCD (and how it diff

Ryan Burns
Mar 48 min read


Mental Compulsions OCD: The OCD Rituals No One Can See
Last reviewed: 03/04/2026 Reviewed by: Dr. Kiesa Kelly Mental compulsions ocd are rituals that happen entirely in your mind. Instead of washing, checking locks, or asking for reassurance out loud, the compulsion might be reviewing , repeating , mentally checking , or ruminating until it feels “settled.” These silent compulsions can take up hours, and they can be just as exhausting as visible rituals. In this article, you’ll learn: What mental compulsions are (and how they di

Ryan Burns
Mar 49 min read


Why Avoidance Makes Anxiety Stronger Over Time: The Avoidance Anxiety Cycle
Last reviewed: 03/03/2026 Reviewed by: Dr. Kiesa Kelly Avoidance can feel like the safest choice when anxiety spikes, but the avoidance anxiety cycle is one of the main reasons anxiety stays strong over time. When we repeatedly step away from what scares us, the brain doesn’t get the “new data” it needs to learn that fear can rise and fall without catastrophe. [1,2] In this article, you’ll learn: What avoidance looks like (including subtle safety behaviors) Why avoidance bri

Ryan Burns
Mar 36 min read


Why OCD Feels So Real: Understanding OCD What If Thoughts and the “What If” Trap
Last reviewed: 03/03/2026 Reviewed by: Dr. Kiesa Kelly If you live with OCD what if thoughts , you already know this isn’t “just worrying.” A single doubt can land in your mind like an emergency alert: What if I hurt someone? What if I’m lying to myself? What if I missed something important? And the more you try to reason it away, the more real and convincing it can feel. In this article, you’ll learn: Why OCD often begins with doubt and uncertainty (not certainty) Why your

Ryan Burns
Mar 38 min read


Why Reassurance Makes OCD Worse (Even When It Feels Helpful): The Reassurance OCD Trap
Last reviewed: 03/03/2026 Reviewed by: Dr. Kiesa Kelly If you live with reassurance OCD, you already know the paradox: asking for certainty (or giving it to yourself) can feel calming for a moment, then the doubt snaps back even stronger. That “just tell me I’m okay” urge isn’t a character flaw; it’s often OCD chasing relief through a compulsion. [1] In this article, you’ll learn: What reassurance seeking looks like in OCD (including mental rituals and Googling) Why reassuran

Ryan Burns
Mar 37 min read


Anxiety vs OCD: The Difference Between Anxiety and OCD (And Why It Matters for Treatment)
Last reviewed: 03/03/2026 Reviewed by: Dr. Kiesa Kelly If you’ve ever googled “anxiety vs ocd” at 2 a.m., you’re not alone. Both anxiety and OCD can come with racing thoughts, dread, and the feeling that you have to do something (right now) to make the discomfort stop. But the “something” you do and the reason you do it can point to very different diagnoses and very different treatments. In this article, you’ll learn: Why anxiety and OCD are often confused How OCD intrusive t

Ryan Burns
Mar 39 min read


Demand Avoidance in Adults: When Everyday Tasks Feel Like Threats
Last reviewed: 03/02/2026 Reviewed by: Dr. Kiesa Kelly If demand avoidance in adults shows up in your life, you may recognize the feeling: a simple request (send an email, make an appointment, start the dishes) can land in your body like a threat. You might even hear yourself thinking, “why do I resist everything?” even when you genuinely want the outcome. In this article, you’ll learn: What “demand avoidance” means and how it relates to PDA-style patterns Why autonomy can fe

Ryan Burns
Mar 28 min read


What Happens in ERP Therapy? A Week-by-Week Look at OCD Treatment
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 210 min read


“Borderline” ASRS Results: What Clinicians Look For Next
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly If you’ve taken the Adult ADHD Self-Report Scale and landed in the “borderline” zone, asrs results can feel like a frustrating non-answer: not clearly “positive,” not clearly “negative.” You’re not alone, and you’re not doing anything wrong. The ASRS (especially the 6-question screener) is designed to flag people who may benefit from a fuller evaluation, not to deliver a diagnosis by itself. [1][2] In this article, you’l

Ryan Burns
Feb 277 min read
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