A person struggles with scruples - what ought they do?
A person with scrupulosity --ought to have a* “regular confessor”
who can direct them --and even give them some general principles* to follow -to apply (principles for them due to their particular scruples -they are usually not for those with a normal conscience).
Thus with their direction they can “dismiss scruples” (in the older language despise them) - “act against them” (agere contra).
Scruples are to be dismissed ~ not argued with.
To borrow and image from a Carthusian from centuries ago: Scruples *are like a barking dog or a hissing goose -one does not stop to argue with a barking dog or a hissing goose does one? * No one keeps walking.
Such ‘obedience’ to a regular confessor who knows of ones scruples (except in what is manifest sin - such as if he told them it was ok to murder someone or something certain like that) is key. Such is the age old practice.
Also counseling -(especially if one also has OCD) could be helpful depending on the case -but one would want to look for a counselor who can assist one in following the Churches Teachings - not go contrary to them (I have heard CA staff mention
catholictherapists.com/)
Here was a not too long ago post from Jimmy Akin of CA that I saw in the Register and saved for those who struggle with such.
ncregister.com/blog/jimmy-akin/6-tools-for-the-scrupulous
Remember all sorts of thoughts can happen to one and one NOT sin at all. (see above post). Hence when there is not an sin…there is nothing needed for confession…
Talk with your confessor about when you ought to confess or not confess in the future.