
← The Catholic Therapist25 May · 1 h 03 min
Your Intrusive Thoughts Don't Define You: The Truth About Catholic OCD
What if the religious doubt, the obsessive confessing, the fear of receiving communion — isn't a sign of weak faith, but actually reveals how deeply you love God?
In this episode, Catholic therapist Adam Cross, LMFT (#116623) joins Amber from the Catholic Counseling Institute for a wide-ranging conversation on scrupulosity — one of the most painful and misunderstood struggles in Catholic life.
Together they unpack the clinical reality that scrupulosity is rooted in anxiety and OCD, not poor faith — and they share what actually helps people heal, from ERP therapy and parts work, to the role of medication, spiritual direction, and a healthy God image.
Topics covered:
What scrupulosity is (and isn't) — theologically and clinically
Intrusive thoughts: the difference between temptation and desire
The lifeboat analogy: when coping strategies become obstacles
ERP for scrupulosity: sitting with uncertainty instead of seeking certainty
Reassurance seeking — and what families can say instead
SSRIs, GeneSight testing, and the Church's view on medication
Nervous system regulation and experiencing God's peace
Healing is possible. This conversation is proof.