Scrupulosity: When OCD Targets Faith and Morals
An OCD worksheet identifying religious and moral scrupulosity fears and rituals, and distinguishing them from one's actual faith or values.
1-page fillable PDF · US Letter (prints on A4) · ERP · Scrupulosity
- Approach / concern
- OCD
- Technique
- ERP · Scrupulosity
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Scrupulosity: When OCD Targets Faith and Morals?
Scrupulosity is OCD centred on religious or moral concerns. ERP can be adapted respectfully, sometimes with input from faith leaders.
Why it works
Abramowitz et al. (2002) developed the Penn Inventory of Scrupulosity and described religious obsessions and compulsions. ERP is effective for OCD across themes (Abramowitz, 2006).
When to use it
- Religious or moral obsessions
- Excessive confession or prayer rituals
- Faith-informed clients
- ERP
How to use it in session
- Identify fears and rituals.
- Distinguish OCD from faith.
- Consult faith leaders if wanted.
- Build ERP steps.
- Track progress.
Clinician tips
- Respect clients’ faith.
- Collaborate with faith leaders with consent.
- Focus on rituals, not beliefs.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
Will treatment make me lose my faith?
No. ERP targets OCD rituals, not your beliefs, and can be adapted to respect your faith.
How is scrupulosity different from being devout?
Scrupulosity involves distress, rigidity and compulsions driven by fear and doubt.
References
Abramowitz, J. S., Huppert, J. D., Cohen, A. B., Tolin, D. F., & Cahill, S. P. (2002). Religious obsessions and compulsions in a non-clinical sample: The Penn Inventory of Scrupulosity (PIOS). Behaviour Research and Therapy, 40(7), 825-838.
Abramowitz, J. S. (2006). The psychological treatment of obsessive-compulsive disorder. Canadian Journal of Psychiatry, 51(7), 407-416.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
