I will re-post an older post of mine
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/rules 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. Such is the age old practice in the Church.
Scruples are to be dismissed not argued with.
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?
Such ‘obedience’ (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.
As to counseling - that 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/) Some person with scrupulosity may yes also suffer from OCD - but the two are not simply equated.
Here was a recent 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
Also I will add that a person can go through a case of “transient scruples”. Which is good news in a way. For they are more easily dealt with.
Such can be due to being a convert to the faith. Such is noted in theological works in terms of (some of) those who have a conversion (even if they were a Catholic all their life - but now have had a more intense turning to Christ and seeking Christian perfection).
Such can even be helpful for they can make one be more sensitive in conscience in a good way. Helpful that is if you have a regular confessor who can judge your case - and who can then direct you and help you in forming your conscience and in doing so the “transient scruples” can clear up and one can go forward with a better formed conscience and commitment to the Lord.
In any case - a regular confessor is key for those who struggle with scruples - be they transient or a more persistent difficulty.