By Allison Summer, LPC | Specializing in OCD & Eating Disorders Scrupulosity is a form of obsessive-compulsive disorder (OCD) that centers around moral, religious, or ethical fears . It’s often misunderstood as strong faith, high values, or a sensitive conscience — but at its core, scrupulosity is driven by anxiety, doubt, and a relentless need for certainty . For both adults and children, scrupulosity can be deeply distressing — especially because it tends to hide in places