Beyond Blue

Beyond Blue

Scrupulosity: What It Is and Why It’s Dangerous

If you sprinkle a hefty dose of Catholic (or Jewish) guilt unto a fragile biochemistry headed toward a severe mood disorder, you usually arrive at some kind of a religious nut. Not that there’s anything wrong with that! For I am one.

I have said many places that growing up Catholic, for me, was both a blessing and a curse.

A blessing in that my faith became a refuge for me, a retreat (no pun intended) where my disordered thinking could latch unto practices and traditions that made me feel normal. Catholicism, with all of its rituals and faith objects, provided me a safe place to go for comfort and consolation, to hear I wasn’t alone, and that I would be taken care of. It was, and has been throughout my life, a source of hope. And any speck of hope is what keeps me alive when I am suicidal.


But my fervent faith was also a curse in that, with all of its stuff (medals, rosaries, icons, statues), it dressed and disguised my illness as piety. So instead of taking me to the school psychologist or to a mental health professional, the adults in my life considered me a very holy child, a religious prodigy with a curiously intense faith.

For anyone prone to OCD (obsessive-compulsive disorder), religion can serve as a trap within a sanctuary. For me, my scrupulosity in primary school was like a game of Pin the Tail on the Donkey: I was spun around blindfolded without a clue as to which side was the head and which the butt–which rituals made me crazy and which led to the beatific vision.

Almost every anxiety and insecurity I felt as I kid fed into one fear: I was going to hell.
Therefore I did everything in my power to prevent that. My bedtime prayers lasted longer than those recited by Benedictine monks; by the second grade, I had read the Bible start to finish (a few times by the fourth grade); I attended daily Mass, walking there on my own each day; and every Good Friday I would go down to my dad’s den in the basement and stay there for five hours as I prayed the all of the mysteries of the rosary.


I guess I just thought I was really holy until I landed in therapy my freshman year at college. There my counselor strongly encouraged me to read the book The Boy Who Couldn’t Stop Washing His Hands: The Experience and Treatment of Obsessive-Compulsive Disorder by Judith L. Rapoport, M.D. After I read through its pages I breathed out a huge sigh of relief that I might not be headed towards the burning flames of hell. Its wisdom has stuck with me even today when I get trapped in that OCD-scrupulous kind of thinking.

Like last weekend.

My daughter received her First Reconciliation. As part of the sacrament, the parents are encouraged to go to confession. I hadn’t been in ten years, so I thought I should go to be a good role model. My religion teachers used to tell us in grade school that you go into confession as a caterpillar and emerge as a butterfly. That wasn’t an accurate description of how I felt. My poor caterpillar was limping, as I felt horribly guilty, disgusted with myself, embarrassed, and every emotion they say you get rid of when the priest absolves you and you feel God’s forgiveness.


I think confession and all the rites of the major religions can be a beautiful thing, and lead to a deeper faith and a sense of love and hope. However, for someone prone to OCD, who constantly beats herself up for every less-than-perfect thing she does, or thought she has, these rituals can become weapons used to further hack away at self-esteem.

Two anecdotes from Rapoport’s book accurately articulate the kind of mental anguish attached to scrupulosity:

Sally, a bright, blonde sixth-grader, had looked forward to her Confirmation. Getting a new dress and having her aunt so proud of her outweighed all the hard work. But a few weeks before the big day she started having crying spells, couldn’t sleep, and lost ten pounds. It all began suddenly, when Sally was doing a class punishment assignment. She thought that she wasn’t doing it properly, that she was “sinning.” I’m always doing something wrong, she felt. The feeling stayed with her. Each day her symptoms became more intense. “If I touch the table, I’m really offending God,” she whispered. She folded her arms and withdrew into deep thought. Sally was terror-struck that she might have offended God by touching her hands. Did that mean that she was striking God? She wondered, retreating further into herself.


Daniel described how hundreds of times each day he would “get a feeling” that he had “done something wrong” and that it displeased God. To avoid possible punishment for these “wrongdoings” at God’s hands, he would punish himself in some way, thus reducing his concern about some more awful punishment occurring at some later time. He would also avoid any actions or thoughts that had accompanied these feelings. This led to the development of complex rules which, in Daniel’s mind, placed prohibitions on his behavior and thinking in virtually every situation of his life.

I have to exercise precaution about going to confession—and participating in rites like it– when I’m feeling really lousy about who I am and can’t get away from the self-deprecating thoughts, just as I refused to fast during Lent when I was trying to tackle my eating disorder in college by eating three regular meals a day. Going without food for 12 hours would have caused a major hiccup in my recovery.


Thankfully there are wonderful resources available today on scrupulosity, and because of the awareness, I think that kids today are better educated on what healthy faith looks like as opposed to a form of OCD. That’s my hope, at any rate.

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  • http://AddaURLtothiscomment mainemcq6

    As a person of faith who has struggled with depression sincerely appreciate your openness and vulnerability. Being cognizant of my own problems in this area have allowed me to say within organized religion and enjoy the fellowship and teaching.

  • http://AddaURLtothiscomment Belleo

    Your entry brought back many memories of my childhood. I use to go to Mass everyday . I think now it might have been rebellion . The nuns that lived close to the church admonished me more than once on not being at school on time . It was nice to be noticed hee hee . Going to confession weekly did I know Jesus ? God was a monster in the sky when I was growing up . God of love I didn’t know what that meant . Today I do know God to be a loving Father (Abba)(DAddy)

  • http://AddaURLtothiscomment Payje

    Therese, You are such a blessing in my life. I grew up a Catholic with bad brain chemistry too. At 51, I want to go to daily Mass but have to continually keep myself balanced. You help make this struggle easier. I thank God for you!

  • http://CatholicSchool Amanda.

    I guess I’m lucky because 10 years of Catholic school did not leave the same kind of scars. No, I have my mother to thank with her undiagnosed Borderline Personality, major depressive disorder, and abused (mentally, emotionally, perhaps physically) by her mother/father and alcoholic husband(s) (yes mine too). I recognized my own behaviors when my therapist suggested I attend Al-Anon when I was trying to cope with my half-sister’s cancer diagnosis and defending her against her crazy family.

    I don’t remember any kids in my class who suffered from scrupulosity outwardly. At least, we had enough abusive nuns and lay-people teaching in the school to keep us from thinking that they were channeling God.

    I do have a memory of crying entering church during lent with my class when I looked up and saw the giant crucifix. Fortunately for me, I believe it only happened once.

    Thanks for sharing yours, once a Catholic, always a Catholic.


  • http://AddaURLtothiscomment Margaret

    ” For it is by grace you have been saved, through faith—and this is not from yourselves, it is the gift of God— ” Ephesians 2:8

    You are a forgiven Child of God.

    May you have God’s Peace in your heart.

    Hugs, Margaret

  • http://AddaURLtothiscomment Margaret

    “In Christ we are set free by the blood of His death, and so we have forgiveness of sins. How rich is God’s grace, which He has given to us so fully and freely.” Ephesians 1:7


  • http://AddaURLtothiscomment Stephen

    Thank you for posting this. It tells me a bit about my own personal and psychological history
    and thus aids me in greater self-understanding.

  • http://AddaURLtothiscomment spareparts

    Wow Therese. This is a powerful post.

    I have always known since I was a small child that I would be going to Hell. I am not sure why. Maybe the videos in my head.

    So these days I try to act good (the idea is to act good, ESPECIALLY when no one is looking). I try to be kind. I don’t always pull it off. All I want is 5 minutes or so, to look at the Lord’s face. Then He can do with me as He wishes.

    Anyway, thank you for giving me a better way to think about things.

  • http://AddaURLtothiscomment Veronica

    Catholic guilt, all part of the growing up
    and being who I am. I get weary of feeling
    that I am not worthy. Very weary. God Bless.

  • http://AddaURLtothiscomment BJW

    Thank you. Thank you thank you thank you. Growing up with severe OCD, I didn’t know there was a name for what was wrong with me. And my OCD took the form of scrupulosity for a very long time. It was horribly frightening. I thought I was both cursed, and crazy. Thank you for spreading the word. I wish someone had been able to identify it in me.

  • Amber Lisa

    WOW, is all I can say to this, post.

    You really break it down how the sanctuary can become a trap. Growing up between two very strict Christian denominations (half Baptist/half Episcopalian) I can sort of relate to the whole depression brings on this fear of going to hell. But I never experienced any compulsive behaviors along with it, because I don’t have OCD, not in the least…I always say I wish I had a touch of that…that desire to be so clean, so precise.

    Of course, there is always that down side to it…scrupulosity indeed!

  • http://AddaURLtothiscomment patricia

    thank you for this post. can you say something about how you tell the difference between a religious impulse that is coming from a wholesome place and one that is coming from a place of distortion and self hate? it would seem to me that that kind of discernment is key in your daily life. i think your thoughts on that issue could be helpful to many.

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