I guess I know it can cause paralyzing fear.
Sadly, I could list many examples I go through on a daily basis.
Probably more than most with OCD.
Sometimes I feel like I'm in H*ll.
Unfortunately, as you can tell by what I've mentioned, I don't handle it well at all.
I know I'm supposed to say it's just my OCD messing with me, but it gets such a stronghold on me that it's hard to listen to that.
I have prayed to deal with it better and it has begun to help.

I'm sorry, I know I do this site referral all the time, but here is a site called Guilt Beyond a Reasonable Doubt that I think hits the nail on the head so to speak.

http://www.ocdonline.com/articlephillipson2.php

I hope it is what you're looking for.

if i can help in anyway let know me know if you gave me an example i know sometimes it gets quite complicated as your ocd changes things about cos its a crafted little bugger.

I can definitely relate to OCD guilt. When I'm in an OCD rut, I second guess almost every action I take, causing a severe amount of guilt for what I didn't do. Even if I did do the right thing. 100 people could tell me I did the right thing, but I will obsess and make myself feel guilty anyway. :(

Oh and how I deal with it? It depends. Sometimes I am able to let it go pretty easily. Others, it takes talking to my mom, journaling, exercising, and a whole multitude of resources to get my head out of the rut. It can be quite exhausting, but once I know my pattern, it's good. The problem with OCD is that, for me, it morphs constantly. One day something will bother me and make me obsess, the next it won't phase me, but something else will. :(