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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 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


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


Moral OCD Therapy: What to Expect When Guilt, Confession, and Reassurance Take Over
Last reviewed: 03/11/2026 Reviewed by: Dr. Kiesa Kelly Moral OCD therapy is designed for a specific kind of “stuck”: when your mind treats ordinary human imperfection as an emergency, and the only relief seems to be confessing, replaying the moment, or getting reassurance that you’re still a good person. If you’re living with moral OCD (sometimes called guilt OCD or scrupulosity), the goal of treatment is not to convince you that morals don’t matter. It’s to help you stop doi

Ryan Burns
Mar 117 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


Why ERP Didn’t Work Before: Pacing, Provider Fit, and What to Do 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 119 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


OCD Therapy vs Anxiety Therapy: Why Intrusive Thoughts Need Specialized Care
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 910 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 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


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 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


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 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

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 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
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