08/23/2026
Hi! I’m a psychotherapist specializing in OCD. Here are some ERP exercises for scrupulosity.
Say a prayer once without any backtracking or corrections.
Sit with the anxiety and trust that God knows your heart (1 Samuel 16:7).
Write down an upsetting intrusive thought and sit with it without apologizing/repenting.
Again, sit with the discomfort and know that God knows your heart. He is not looking for you to perform compulsions.
For my Catholic friends: if you go to confession, confess only sins that did not begin with intrusive thoughts. If this feels like too much, try removing one OCD-originated confession from your list. The next time, aim for two.
OCD may claim that you’re withholding confessions — that’s what it does. Know going into this exposure that sin requires a heart posture turned away from God. OCD’s intrusive thoughts are involuntary symptoms of an illness, not sins.
If you experience intrusive thoughts about salvation, try interrupting OCD following the intrusive thought.
Example: OCD says, “What if you’re not really saved?” This typically leads to compulsions like searching for answers and reassurance seeking.
Instead, identify the thought as OCD and treat it as any other symptom: “This is OCD.” Recognize that reassurance-seeking is a compulsion that strengthens the OCD cycle, and resist engaging. If it’s intolerable, space the compulsion out from the intrusive thought. Wait 5 minutes before looking for reassurance, and aim to extend that period each time.
When reading Scripture, read a passage once. If you feel the compulsive urge to make sure you’ve read it just right, either continue reading or close the Bible. Engaging with compulsions strengthens OCD, not your relationship with God. Sit with the anxiety, and come back to the Word later.
It’s important for believers to develop an understanding of the difference between genuine acts of faith and OCD. Remember that God is all-knowing, and that He sees the difference between an act that originates from OCD and one that originates from the heart.
He is for you as you fight these symptoms.