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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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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


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 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


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 di

Ryan Burns
Mar 49 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


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


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


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


“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


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
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