OCD can cause persistent guilt about thoughts, past mistakes, decisions, or things you fear you may have done. Learn why OCD guilt feels so convincing and how ERP can help break the cycle.

Moral scrupulosity is a form of OCD characterized by excessive guilt, moral doubt, and a relentless need for certainty about being a good person. People may become trapped in cycles of rumination, reassurance-seeking, confession, and compulsive self-evaluation that never fully resolve their doubts.