Finding Spiritual Clarity with I‑CBT 

Two women sit with heads bowed in prayer, reflecting the internal struggle often experienced by those with moral OCD in Provo, UT.

For many members of The Church of Jesus Christ of Latter‑day Saints, faith is a source of identity and purpose. When scrupulosity twists spiritual devotion into a cycle of doubt, guilt, and perfectionism, it challenges the core values we hold dear. In such situations, prayer becomes paralyzing, repentance never feels complete, and temple worthiness can haunt each day. 

Inference‑Based CBT (I‑CBT) is uniquely well‑suited to treat LDS scrupulosity. This evidence-based treatment doesn’t challenge the what of belief—it reframes the how of thinking in several key ways. 

1. Aligns with Spiritual Values, Not Against Them 

Intrusive thoughts like “Did I repent well enough?” or “Am I unworthy of the temple?” reflect genuine devotion. Unfortunately, those who suffer from scrupulosity experience a pathological doubt. This doubt lies in the inference, not the belief. I‑CBT preserves devotion while targeting the faulty inference. Your prayer may feel imperfect, but your heart is sincere, and that matters most. 

2. Untangles the Repentance Loop 

Those struggling with scrupulosity often wrestle with repentance loops, which cause them to compulsively confess imagined sins to bishops or mission leaders, only to feel unworthy again moments later. I‑CBT interrupts that cycle by: 

• Identifying the inference: “If I feel guilty, I must not have repented enough.”

• Evaluating evidence: Feelings aren’t proof of guilt. 

• Building an alternative story: “My sincere repentance is accepted—even if the feeling  of guilt lingers.” 

This nurtures functional certainty or a trust in motives over emotion. 

 3. Avoids Faith‑Endangering Exposures 

Inspirational illustration reading “Your feelings are valid,” ideal for highlighting the compassionate approach of I-CBT in Provo, UT. Useful for content about moral OCD treatment

Traditional ERP can involve experiencing triggering thoughts in various ways. While ERP can treat moral OCD symptoms, many clients worry that further exposure to their concerns is spiritually dangerous. I‑CBT sidesteps that moral pitfall by: 

• Focusing on reasoning processes, not the content of thoughts. 

• Respecting spiritual boundaries, so clients don’t feel they’re crossing ethical or doctrinal lines. 

That means deep relief, without compromising conscience.

4. Restores Worthiness Without Wrestling Every Doubt 

Many members fear they’ll never be “worthy enough” for temple ordinances, callings, or mission service. I‑CBT helps them uncover the inferential confusion behind that fear, then retell  the story: 

“Feeling anxious about my testimony doesn’t mean it’s untrue. I’ve kept the commandments,  sought forgiveness, and God cares about my effort, not my anxiety.” 

5. Integrates Grace and Authentic Self 

A core gospel principle is that God values intent and the power of the Atonement over perfection. I‑CBT mirrors that truth, helping clients reconnect with their real,  intention‑focused selves instead of their feared, doubt‑driven selves. 

Clients learn: You are a beloved child of Heavenly Father, even when thoughts and feelings falter. 

6. Leverages Ecclesiastical Wisdom 

Trust is key. And LDS clients often respond better when therapists honor trusted authorities— bishops, patriarchs, mission presidents. I‑CBT encourages consulting those leaders, grounding therapy in a network of spiritual support. 

One of I‑CBT’s greatest strengths is its ability to help clients separate involuntary thoughts from their true moral or spiritual intentions. This is something traditional CBT and mindfulness often fall short of. If you have tried traditional therapy in the past, note that I-CBT  is different. While CBT might challenge the content of thoughts and mindfulness encourages acceptance of them, I‑CBT takes a different path: it focuses on how those thoughts are formed in the first place. For Latter-day Saints facing scrupulosity, this is crucial.

A symbolic photo of a hand sending a letter, representing open communication and emotional outreach. Perfect for a blog discussing moral OCD treatment, I-CBT in Provo, UT

I‑CBT teaches that intrusive thoughts are not moral failings or spiritual weaknesses, but rather, they are misfires in reasoning. By shifting focus from “What if this thought means something?” to “What do I  actually believe and intend?” clients rediscover peace, agency, and spiritual clarity without compromising their values

Start I-CBT in Provo, UT

If your spiritual devotion has become overshadowed by doubt, I‑CBT offers a path back: not less faith, but better faith.  

Interested in practical tools, session outlines, or gospel-specific handouts?  Let’s Talk. If your spiritual devotion feels clouded by guilt, doubt, or perfectionism, you're not alone. Start therapy with Mountain Home Center for Religious and Moral OCD by following these steps:

  1. Book a free 15-minute consultation

  2. Meet with a caring therapist

  3. Take the first step toward spiritual clarity.

Explore Personalized Therapy Services at Mountain Home Center

At Mountain Home Center, I provide more than just support for religious OCD. My evidence-based therapy services, including SPACE treatment, help individuals navigate a variety of challenges, including OCD-related struggles, anxiety disorders, and difficulties in relationships. I recognize the unique experiences of Latter-day Saints and others seeking faith-compatible care, offering a compassionate and tailored approach to treatment. Whether you or a loved one is managing scrupulosity, relationship OCD, or general anxiety, I am here to support you in finding balance and peace. My goal is to help you achieve lasting mental well-being while honoring your values and spiritual foundation.

Next
Next

How Parents Can Use SPACE-Based Strategies to Support Their Missionary Sons and Daughters