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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 It Doesn't Work and What Does
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 reassuranc

Ryan Burns
Mar 1112 min read


Why ERP Didn't Work Before: Pacing, Fit, and What's 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


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 117 min read


Online OCD Therapy in Tennessee: Does Telehealth ERP 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 118 min read


OCD Therapy in Tennessee: What the First Month of ERP 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 in Tennessee: ERP and I-CBT
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 compulsi

Ryan Burns
Mar 119 min read


How to Choose an OCD Therapist: ERP vs I-CBT and Questions to Ask
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 98 min read


OCD Therapy vs Anxiety Therapy: Why Intrusive Thoughts Differ
Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly If you’re stuck in a loop of intrusive thoughts and “what ifs,” it’s easy to assume you just have anxiety. Sometimes that’s true. But sometimes the engine underneath is OCD—and OCD therapy works differently than general anxiety therapy. Here’s the tricky part: OCD doesn’t always look like handwashing or being “super organized.” For many people, the compulsions are mostly internal: mental checking, replaying, analyzing, co

Ryan Burns
Mar 911 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


Why Avoiding Triggers Makes OCD Stronger: The 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 in

Ryan Burns
Mar 57 min read


Why Moral OCD Can Feel 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


Accepting Uncertainty in OCD: What It 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 59 min read


Why OCD Feels So 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 58 min read


Why OCD Attacks the Things You Care About Most
Last reviewed: 03/05/2026 Reviewed by: Dr. Kiesa Kelly If you’ve ever wondered why OCD attacks what you care about, you’re not imagining a pattern. Obsessive-compulsive disorder often latches onto the people, values, and identities that matter most to you, then demands certainty that you’re “safe,” “good,” or “sure.” When intrusive thoughts hit what you love most, it can feel deeply personal. And it can also be a treatable OCD pattern. In this article, you’ll learn: Why OCD t

Ryan Burns
Mar 58 min read


Why OCD Gets Worse Under Stress: 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 58 min read


Rumination OCD: Why 'Figuring Out' Intrusive Thoughts Backfires
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 49 min read


The OCD Doubt Cycle: Why Nothing Ever Feels Certain
Last reviewed: 03/04/2026 Reviewed by: Dr. Kiesa Kelly If you live in the ocd doubt cycle, you may know the feeling: you check, ask, replay, or analyze… and still don’t feel sure. Your mind keeps reaching for one more piece of certainty so you can finally relax. The tricky part is that OCD doesn’t actually reward certainty. It rewards the chase for certainty. In this article, you’ll learn: Why OCD is sometimes called the “doubting disorder” How the OCD rumination cycle keeps

Ryan Burns
Mar 49 min read


Mental Compulsions in OCD: Signs, Examples & ERP Therapy
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 differ

Ryan Burns
Mar 410 min read


Anxiety vs OCD: The Difference and Why It Changes 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 310 min read


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
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