Personally I hate the word “scrupulosity” as used here and in this forum and in other circles. The definition is “the state of being careful about what is morally, ethically, or legally right or wrong”. Not a bad idea. The **affliction **would be better called “excessive scrupulosity” or “over scrupulous”.
Excessive scrupulosity is much related to OCD. In fact, I believe that excessive scrupulosity is a symptom of OCD for some people, especially artists, teachers, entertainers, salespeople, and anyone who is detail-oriented, does repetitive work, and is struggling with anxiety disorder.
True scrupulosity would be a great gift: the ability to discern what is good, a much-needed skill in our world. The excessive scrupulosity, however, can cause a person to believe that they, or someone else, did a criminal or immoral act that does not exist…Quite a problem.
The goal is good mental and physical health so the brain can function more quietly and accurately. Prioritization is important since the excessively scrupulous has difficulty perceiving proportion, size, and importance of an act, thought, or behavior. Nutritional support is helpful. Read about tryptophane or 5 http use for anxiety-type disorders.
Counseling is helpful. Be sure your counsellor stays out of your essential beliefs and faith…not all Catholic counsellors would understand how to separate the illness from the issues of conscience. Some non-catholic counsellors might be more respectful and stay away from the content of your faith and conscience, yet would focus on the amount and size of interfering ideas and confusions.