Scrupulosity: An Overview of Religious or Moral OCD

Scrupulosity involves obsessive-compulsive thoughts and behaviors centered around religious or moral beliefs, causing excessive worry about doing wrong. It affects about 5%-33% of people with OCD and 0.05-0.33% of the general population.

Scrupulosity Triggers

The exact triggers are unknown, but it's not linked to specific religions and can occur in individuals involved in spiritual practices. It often co-occurs with OCD, which has genetic and environmental factors.

Scrupulosity Signs and Symptoms

Scrupulosity involves behaviors and thoughts like:

• Obsessive beliefs about committing sins or facing severe consequences for religious transgressions.
• Excessive religious behaviors and devotion beyond what's expected.
• Compulsively avoiding situations perceived to increase the likelihood of sinning.
• Excessive worry about small transgressions.
• Intrusive thoughts about religious wrongdoing.
• Constant self-doubt, low self-esteem, and self-hatred related to religious faithfulness.

Is Scrupulosity an Anxiety Disorder?

Scrupulosity is not a specific diagnosable subtype of anxiety disorders but a set of symptoms within OCD. While OCD is separate from anxiety disorders, it can cause anxiety and lead individuals to engage in obsessive behaviors to reduce anxiety.

Scrupulosity Treatment

Treatment involves a combination of therapy and medication:

1. Cognitive Behavioral Therapy (CBT): CBT is the primary treatment, aiming to increase awareness of thoughts and beliefs and understand their impact on emotions and behaviors.

• Exposure and response prevention: This CBT component helps patients confront obsessive thoughts and resist compulsive behaviors.

2. Acceptance and Commitment Therapy (ACT): ACT focuses on accepting and not resisting intrusive thoughts to reduce their impact.

3. Medication: Selective serotonin reuptake inhibitors (SSRIs) like fluoxetine (Prozac), escitalopram (Lexapro), fluvoxamine (Luvox), and paroxetine (Paxil) are effective in treating OCD and scrupulosity.

Coping with Scrupulosity/OCD

• Practice mindfulness and meditation.
• Adopt healthy lifestyle choices like adequate sleep, proper nutrition, and regular exercise.
• Utilize relaxation techniques like yoga, deep breathing, and massage.
• Connect with others who have scrupulosity for support and sharing experiences.
• Seek professional help from mental health providers or your primary care physician for guidance and treatment.