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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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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
2 days ago8 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
2 days ago7 min read


Intrusive Thoughts vs OCD: When a Thought Becomes a Compulsion
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
6 days ago7 min read


Y-BOCS Scoring: What Your Y-BOCS Score Means, Severity Ranges, and Next Steps
Confused by your y-bocs scoring results? This guide explains what the Y-BOCS measures, how severity ranges are used, and supportive next steps if OCD may be in the picture.

Kiesa Kelly
6 days ago7 min read


Autistic Masking vs Social Anxiety vs People-Pleasing
Last reviewed: 02/19/2026 Reviewed by: Dr. Kiesa Kelly If you have ever googled autistic masking vs social anxiety and still felt unsure, you are not alone. In adults, all three patterns can look like the same "polite, put-together" person on the outside, while the inside story is totally different. In this article, you'll learn: Why masking, social anxiety, and people-pleasing get mixed up The "driver underneath" each pattern Practical clues you can use in real life How the

Ryan Burns
6 days ago8 min read


OCD, Autism, and ADHD: Why They Co-Occur and How to Get the Right Diagnosis and Treatment
OCD and ADHD often show up alongside autistic traits, which can make diagnosis and treatment feel confusing. This guide explains why they co-occur, how to tell OCD compulsions from autistic routines, and how neurodiversity-affirming ERP can be adapted.

Kiesa Kelly
Feb 1210 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


ERP for Harm, Relationship, and “Pure O” OCD: Adapting Exposure for Different Intrusive Thoughts
ERP for harm OCD works by teaching your brain to stop treating thoughts like threats. This guide explains how exposure and response prevention for intrusive thoughts adapts to harm, relationship (“ROCD”), and scrupulosity themes—and how to find an OCD specialist in Tennessee who tailors ERP for “Pure O.”

Ryan Burns
Nov 26, 20256 min read


Insomnia With Trauma, OCD, or Strong Anxiety: Keeping Sleep on Track
🧠 Key takeaway: Insomnia can improve—even with trauma, OCD, or big anxiety in the mix—when we keep the core CBT‑I steps and add a few smart tweaks. If nights have started to feel like a second job, you’re in the right place. Many people tell us they’re exhausted, wired, and worried that their history with trauma , OCD , or anxiety means sleep is off‑limits. It isn’t. Cognitive Behavioral Therapy for Insomnia (CBT‑I) is a well‑tested approach that helps your brain relearn

Ryan Burns
Oct 30, 20257 min read
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