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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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Fast Access OCD Assessment in Tennessee: What Happens Before ERP Starts
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 138 min read


ERP or I-CBT for OCD: How to Choose a Starting Point for OCD Therapy
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly If you’re stuck researching ERP or I-CBT for OCD, you’re not alone. For many people, the “Which treatment is best?” question starts to feel urgent, high-stakes, and impossible to answer with certainty. In this article, you’ll learn: What ERP and I-CBT are actually trying to change Signs each approach may be a better starting fit for your OCD pattern When combining ERP vs I-CBT can be the most practical option Questions to

Ryan Burns
Mar 118 min read


OCD Therapy Tennessee: What the First Month of ERP or I-CBT Usually 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


How to Choose an OCD Therapist: ERP, I-CBT, and Questions to Ask Before You Start
Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for an OCD therapist, you’re likely hoping for one thing: relief that actually lasts. OCD is highly treatable when therapy is OCD-specific and skills-based, not just supportive conversation. Evidence-based guidelines consistently recommend CBT approaches that include exposure and response prevention (ERP), and medication may also be part of care for some people. [1,2] In this article, you’ll learn: How

Ryan Burns
Mar 97 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 57 min read


Accepting uncertainty OCD: What “Accepting Uncertainty” Actually Means in Treatment
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 58 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


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 27 min read


AQ-10 vs Social Anxiety: Why the Overlap Is Real (and How Evaluations Sort It Out)
Last reviewed: 03/18/2026 Reviewed by: Dr. Kiesa Kelly If you are trying to make sense of autistic traits vs social anxiety, you are not imagining the overlap. Social anxiety and autistic traits can look similar in daily life, they can meaningfully affect each other, and for some people the answer is not a clean either/or. This page explains how evaluations sort out the difference without forcing a false choice between “it must be anxiety” and “it must be autism.” In this art

Kiesa Kelly
Feb 278 min read


Online ERP Therapy: What Telehealth ERP Actually Looks Like (Between Sessions, Too)
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly Online ERP therapy can feel mysterious at first, especially if you’ve only heard “exposure therapy” described as something extreme. In real life, telehealth ERP is usually structured, collaborative, and designed to help you practice in the places OCD actually shows up, including at home. In this article, you’ll learn: The biggest misconception about ERP (and why “exposure” isn’t flooding) What an ERP session looks like on

Ryan Burns
Feb 238 min read


ICBT vs. ERP for OCD: Which Treatment Approach Might Be Right for You?
Struggling with OCD? Understanding the difference between Inference-based CBT (I-CBT) and Exposure Response Prevention (ERP) can help you find the right treatment path. While ERP is considered the gold standard for OCD treatment, I-CBT offers a gentler, equally effective alternative for those who find exposure-based approaches intimidating. Learn how these evidence-based approaches differ and which might be best suited to your unique needs and neurodivergent profile.

Ryan Burns
May 6, 20259 min read
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