Re: How do I know that it's scrupulosity or not?
Print out all of your threads and the posts here and show them to your doc.
He'll soon notice that you don't actually listen to anyone except the voices in your own head, or more specifically, hear exactly what you want to hear and what you've already told yourself. You're not really here for guidance. You just want someone telling you "now now it's going to be alright" without you actually having to listen to instructions and follow them because you're highly self-directed and you're your own guide, teacher and student. Maybe it makes you feel better if you "feel" you're getting help without actually doing anything concrete to resolve your issue and putting in the work required to get better.
So if your doc sees all of this, then hopefully you'll get the treatment you actually need.
I'm not trying to be mean nor belittle your problem. I'm just looking at the entire picture and your post history and that is the conclusion I'm at currently, with the evidence available to me. I really do want you to get better, but you're not paying attention to anything that's been said at least a dozen or so times already.
The advice isn't going to change. Salvation doesn't change. The standards don't change. They do not, have not, will not.
Even so, come Lord Jesus!