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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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What Type of Therapy Do I Need? A Decision Guide for OCD, ADHD, Autism, Insomnia, and Trauma
Last reviewed: 03/09/2026 Reviewed by: Dr. Kiesa Kelly Searching “type of therapy” can feel like walking into a hardware store without a project. The problem is not you. The word therapy covers very different tools, and the best fit depends on the pattern underneath your symptoms: obsessive doubt, executive-function overload, trauma-driven threat responses, or a sleep system that’s learned the wrong rhythm. In this article, you’ll learn: How to match symptoms to an evidence-

Ryan Burns
5 hours ago7 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
4 days ago7 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
5 days ago7 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
5 days ago8 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
6 days ago8 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
6 days ago9 min read


Intrusive Thoughts vs. Intent: Why Intrusive Thoughts 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 27 min read


Y-BOCS Screener: When Intrusive Thoughts Point to OCD (Not “You Being Broken”)
Last reviewed: 02/27/2026 Reviewed by: Dr. Kiesa Kelly Intrusive thoughts can feel so personal that it’s easy to mistake them for proof you’re “bad,” “unsafe,” or “broken.” But the y bocs is designed to measure something very different: how much obsessive-compulsive symptoms are taking from your life. In this article, you’ll learn: What the Y-BOCS measures (and what it does not) How ybocs scoring works and how to interpret it without spiraling The difference between intrusive

Ryan Burns
Feb 278 min read


Y-BOCS Scoring: What Your OCD Severity Score Means (and How Treatment Planning Works)
Last reviewed: 02/23/2026 Reviewed by: Dr. Kiesa Kelly If you’ve taken a Y-BOCS test (or used an online questionnaire) and found yourself searching y bocs scoring , take a breath. A Y-BOCS score isn’t a verdict. It’s a way to estimate how much OCD is impacting your week , so you can plan treatment and track change over time.[1][4] In this article, you’ll learn: What the Y-BOCS scale measures (and what it doesn’t) How to interpret your score without turning it into reassuranc

Kiesa Kelly
Feb 237 min read


“Pure O” and OCD Mental Compulsions: Why Screeners Can Miss It
“Pure O” can look like “just thoughts,” but OCD mental compulsions often happen silently: rumination, mental checking, reviewing, and reassurance seeking. Here’s why screeners can miss it and what to do next.

Ryan Burns
Feb 198 min read


ROCD: Relationship OCD Signs and Cycles
ROCD (relationship OCD) can make normal relationship uncertainty feel urgent and dangerous, pulling you into “Do I really love them?” loops. This guide breaks down common ROCD symptoms, the obsession–compulsion cycle, and how ERP and I-CBT help you relate to doubts differently.

Ryan Burns
Dec 21, 20258 min read


Pure O & Mental Rituals: What Counts as a Compulsion (Even When It’s “Only in Your Head”)
Pure o ocd often looks like nonstop thinking—checking your feelings, replaying conversations, praying “until it feels right,” or debating with yourself for certainty. These mental rituals are compulsions, even when no one can see them. Here’s how to spot them and what evidence-based treatment (ERP and I-CBT) looks like.

Kiesa Kelly
Dec 21, 20259 min read


I-CBT for OCD: How Inference Based Therapy Works (and When It Helps)
I-CBT for OCD helps people reduce obsessional doubt by correcting the reasoning that fuels intrusive thoughts—often without intensive exposure exercises. Learn how inference-based CBT works, who it helps (including “pure-O”), and what an I-CBT plan at ScienceWorks looks like, so you can choose the right path for assessment, therapy, or coaching at ScienceWorks Behavioral Healthcare.

Ryan Burns
Oct 12, 20255 min read


Evaluating OCD Treatments: The Benefits of Specialized Care
Despite affecting 2-3% of the population, OCD remains widely misunderstood, with half of cases misdiagnosed by frontline medical workers and generalist mental health providers. This paper demonstrates how specialized care significantly improves outcomes through evidence-based treatments like ERP and I-CBT. By understanding OCD's diverse presentations, comorbidities, and effective treatments, providers can ensure timely referrals and offer their patients the most effective car

Ryan Burns
May 14, 202525 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


What is Inference-Based CBT (I-CBT)? A Comprehensive Guide for Folks with OCD
Inference-Based CBT (I-CBT) offers a promising alternative for treating OCD, especially for those who find traditional ERP challenging. Unlike approaches focused on anxiety management, I-CBT targets the reasoning processes behind obsessions, helping individuals distinguish between reality and imagination. With growing research support, this gentler cognitive approach helps correct the "inferential confusion" at OCD's core, making it highly effective for those with strong obse

Kiesa Kelly
Apr 30, 20258 min read
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