Although scrupulosity is often responsive to established OCD treatments, special clinical challenges are associated with religious and moral obsessions. Failure to address these challenges can jeopardize treatment adherence and outcome. The purpose of this workshop is to discuss clinical strategies for addressing the challenges of treating scrupulosity. Particular attention will be given to a method developed by the presenter to help scrupulous patients clarify and commit to a set of adaptive religious/moral beliefs prior to initiating exposure and response prevention. Topics will include how to navigate around psychological barriers like ambivalence, the quest for certainty, difficulties in discriminating between feelings and beliefs, and other issues. The workshop will include lecture, slides, and case discussion.
