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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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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


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 kee

Ryan Burns
Mar 48 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


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
Mar 38 min read


Why Reassurance Makes OCD Worse (Even When It Feels Helpful): The Reassurance OCD Trap
Last reviewed: 03/03/2026 Reviewed by: Dr. Kiesa Kelly If you live with reassurance OCD, you already know the paradox: asking for certainty (or giving it to yourself) can feel calming for a moment, then the doubt snaps back even stronger. That “just tell me I’m okay” urge isn’t a character flaw; it’s often OCD chasing relief through a compulsion. [1] In this article, you’ll learn: What reassurance seeking looks like in OCD (including mental rituals and Googling) Why reassuran

Ryan Burns
Mar 37 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
Mar 39 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


What Happens in ERP Therapy? A Week-by-Week Look at OCD Treatment
Last reviewed: 03/02/2026 Reviewed by: Dr. Kiesa Kelly If you’re Googling what happens in ERP therapy , you’re probably doing something very understandable: trying to feel more certain before you start something that sounds scary. ERP (exposure and response prevention) is the most studied psychotherapy for OCD, but most people don’t get a realistic “this is what sessions actually look like” walkthrough. ERP is structured, collaborative, and paced to help you build skills, not

Kiesa Kelly
Mar 210 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


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
Feb 238 min read


Y-BOCS Scoring: What Your OCD Severity Score Means (and How Treatment Planning Works)
Last reviewed: 03/18/2026 Reviewed by: Dr. Kiesa Kelly Y-BOCS scores help describe OCD severity. In other words, Y-BOCS scoring is meant to be a guide, not a verdict about you. What matters most is how OCD is functioning in real life, how much it is limiting your week, and what kind of treatment support is needed next.[1][4] If you felt a rush of fear or shame after seeing a higher number, that reaction makes sense. Many people read a score and immediately start wondering wha

Kiesa Kelly
Feb 237 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


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
Feb 197 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
Feb 198 min read


ASD, ADHD, and OCD: How to Tell Them Apart and Get Assessed
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 Intrusive Thoughts: Harm OCD, ROCD, and “Pure O”
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, 20257 min read
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