top of page
Book now to schedule your free consultation:


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.
Search


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 t

Ryan Burns
Mar 118 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


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 116 min read


Online OCD Therapy in Tennessee: Does Telehealth ERP Actually 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 117 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 Tennessee: ERP, I-CBT, and Questions to Ask Before You Start
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly If you’re searching for an ocd therapist tennessee , you’re probably past the “Do I need help?” stage. You want to know: Who actually treats OCD well, and how do I tell before I invest my time, money, and hope? In this article, you’ll learn: Why OCD often needs specialized therapy (not just supportive talk therapy) What ERP and I-CBT are, and how they’re different How to spot an OCD specialist who can treat mental compuls

Ryan Burns
Mar 118 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: Ho

Ryan Burns
Mar 97 min read


Why Avoiding Triggers Makes OCD Stronger: The OCD Avoidance Cycle
Last reviewed: 03/04/2026 Reviewed by: Dr. Kiesa Kelly OCD avoidance can feel like self-protection: “If I don’t go there, think about that, or talk about it, I’ll finally feel calm.” The problem is that avoidance and OCD feed each other. Each time you step away from a trigger, your brain gets the message: That was dangerous, and avoidance saved me. Over time, the OCD avoidance cycle expands, and life gets smaller.[1] In this article, you’ll learn: What avoidance looks like i

Ryan Burns
Mar 56 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


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 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 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


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


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


ROCD vs Relationship Anxiety: How to Tell the Difference (and Why Reassurance Backfires)
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 a

Ryan Burns
Feb 238 min read


Y-BOCS Scoring: What Your OCD Severity Score Means (and How Treatment Planning Works)
Last reviewed: 03/18/2026 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 237 min read


Do People With OCD Talk to Themselves? Intrusive Thoughts vs Mental Compulsions.
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 197 min read


What is ERP Therapy? A Gentle Introduction to Exposure Response Prevention for OCD
Exposure Response Prevention (ERP) therapy is a proven, effective approach for treating Obsessive-Compulsive Disorder that helps individuals break free from the cycle of obsessions and compulsions. By gradually facing fears while learning to resist compulsive behaviors, ERP empowers those with OCD to reclaim their lives and develop healthier responses to anxiety. At ScienceWorks, we offer both ERP and gentler alternatives like Inference-based CBT, tailored to your unique need

Kiesa Kelly
May 6, 20258 min read
bottom of page
