Someone double-checks a text message for the fifth time, not because they're unsure what it says, but because they're terrified it might have sounded rude. Someone else prays the same sentence over and over, convinced that if they don't get the wording exactly right, it doesn't count. They're not being extra careful or having an off week. What they're both describing is something a lot of people quietly live with for years before anyone puts a name to it.
Scrupulosity OCD is a subtype of Obsessive-Compulsive Disorder built around religious or moral obsessions, the fear that you've sinned, offended a higher power, or secretly become a bad person. It's often mistaken for being unusually devout or unusually ethical, which is part of why it goes undiagnosed for so long. In this post, we'll look at what scrupulosity OCD actually involves, how thought-action fusion fuels it, why trying harder to be good can make it worse, and what treatment actually looks like.
