Perfectionism Symptoms and Treatment Options

What Does Perfectionism Mean?


In psychotherapy, perfectionism refers to a personality trait or cognitive tendency characterized by setting excessively high standards for oneself and engaging in rigid, all-or-nothing thinking patterns. Individuals who struggle with perfectionism often experience a persistent desire to achieve flawlessness in their endeavors, leading to relentless self-criticism, fear of failure, and an inability to tolerate mistakes or imperfections.

Perfectionism can manifest in various domains of life, including work, relationships, academics, and personal goals. While striving for excellence can be motivating and lead to high achievement, perfectionism becomes problematic when it interferes with one's well-being, relationships, and overall functioning. If you or someone you know experiences perfectionism, contact us today to begin your therapeutic journey at One Peace Therapy!

What Are Symptoms of Experiencing Perfectionism?

Some common symptoms of perfectionism in psychotherapy include:

  1. Setting Unrealistic Standards: Perfectionists set impossibly high standards for themselves, believing that anything less than perfection is unacceptable. They often engage in black-and-white thinking, viewing success as all-or-nothing and discounting incremental progress or achievements that fall short of their ideal.

  2. Harsh Self-Criticism: Perfectionists are highly self-critical and judgmental of their own performance, constantly berating themselves for perceived shortcomings or mistakes. They may internalize a critical inner voice that undermines their confidence and self-worth.

  3. Fear of Failure: Perfectionists have an intense fear of failure and rejection, which can lead to avoidance of challenges, procrastination, or reluctance to take risks. They may avoid pursuing goals or opportunities altogether if they believe they cannot meet their own unrealistic standards.

  4. Difficulty Accepting Imperfection: Perfectionists have difficulty accepting mistakes, setbacks, or imperfections, viewing them as evidence of personal inadequacy or failure. They may experience intense distress or anxiety when confronted with their own limitations or perceived flaws.

  5. Overemphasis on External Validation: Perfectionists often derive their sense of worth and identity from external achievements or approval from others, seeking validation and recognition as a means of bolstering their self-esteem.

  6. Impaired Coping and Adaptation: Perfectionism can impair an individual's ability to cope with stress, setbacks, and life challenges, as they may lack flexibility, resilience, and adaptive coping strategies. They may become overwhelmed or paralyzed by fear of making mistakes or falling short of their standards.

In psychotherapy, addressing perfectionism typically involves helping individuals develop more realistic standards, challenge self-defeating beliefs and cognitive distortions, cultivate self-compassion and acceptance of imperfection, and develop healthier coping strategies for managing stress and setbacks. If you or someone you know experiences perfectionism, contact us today to begin your therapeutic journey at One Peace Therapy!

Perfectionism Treatment with Acceptance and Commitment Therapy (ACT)


Acceptance and Commitment Therapy (ACT) is a form of cognitive-behavioral therapy that focuses on acceptance of internal experiences, mindfulness, and commitment to values-based action. When treating perfectionism with ACT, the therapist helps individuals develop psychological flexibility, cultivate self-compassion, and engage in behaviors that align with their values, rather than being driven solely by the pursuit of perfection. Here are some strategies used in treating perfectionism with ACT:

  1. Mindfulness: ACT emphasizes mindfulness as a core skill for observing thoughts, feelings, and sensations without judgment. By practicing mindfulness, individuals can become more aware of the perfectionistic thoughts and self-criticism that arise, allowing them to respond to these experiences with greater acceptance and detachment.

  2. Defusion: Defusion techniques help individuals create distance from their thoughts and beliefs, recognizing them as mental events rather than absolute truths. This allows individuals to reduce the impact of perfectionistic thoughts and self-criticism, enabling them to respond more flexibly and adaptively.

  3. Acceptance: ACT encourages individuals to practice acceptance of their internal experiences, including feelings of anxiety, self-doubt, and imperfection. Rather than trying to suppress or avoid these experiences, individuals learn to acknowledge and embrace them as natural aspects of the human experience.

  4. Values Clarification: ACT helps individuals clarify their values – the qualities and aspirations that are most important to them in life. By identifying their values, individuals can set meaningful goals and make decisions that are aligned with their deeper priorities, rather than being solely driven by the pursuit of perfection.

  5. Committed Action: ACT emphasizes the importance of taking committed action towards valued goals, even in the presence of discomfort or uncertainty. Individuals are encouraged to engage in behaviors that are consistent with their values, regardless of whether they meet their own standards of perfection.

  6. Self-Compassion: ACT encourages individuals to cultivate self-compassion – treating oneself with kindness, understanding, and acceptance, especially in the face of failure or setbacks. By developing self-compassion, individuals can counteract the harsh self-criticism and perfectionistic tendencies that often contribute to distress.

  7. Values-Based Exposure: In some cases, individuals may benefit from exposure exercises designed to help them confront their fears of failure or imperfection. These exposure exercises are conducted in the context of pursuing valued goals and can help individuals build resilience and tolerance for uncertainty.

Overall, ACT provides a holistic approach to treating perfectionism by fostering psychological flexibility, promoting values-based action, and cultivating self-compassion. Through mindfulness, acceptance, and committed action, individuals can develop healthier ways of relating to their perfectionistic tendencies and live more fulfilling and meaningful lives. If you or someone you know experiences perfectionism, contact us today to begin your therapeutic journey at One Peace Therapy!

Perfectionism Treatment with Cognitive Behavioural Therapy (CBT)

Cognitive-Behavioral Therapy (CBT) is a widely used and effective approach for treating perfectionism. In CBT, the therapist works with the individual to identify and challenge maladaptive thought patterns and behaviors associated with perfectionism, while also teaching coping strategies and skills to promote more adaptive functioning. Here's how perfectionism is typically treated using CBT:

  1. Psychoeducation: The therapist provides education about perfectionism, helping the individual understand its cognitive, emotional, and behavioral components. This includes explaining how perfectionistic beliefs and standards contribute to distress and interfere with functioning.

  2. Identifying Perfectionistic Thoughts and Beliefs: The therapist helps the individual identify and recognize the perfectionistic thoughts and beliefs that contribute to their distress. This involves learning to identify cognitive distortions such as all-or-nothing thinking, overgeneralization, and magnification of mistakes.

  3. Cognitive Restructuring: CBT involves challenging and restructuring perfectionistic thoughts and beliefs to develop more balanced and realistic thinking patterns. The therapist helps the individual examine the evidence for and against their perfectionistic beliefs, as well as generate more flexible and compassionate alternatives.

  4. Setting Realistic Goals: CBT helps individuals set more realistic and achievable goals that are based on personal values and priorities rather than perfectionistic standards. This involves breaking down larger goals into smaller, manageable steps and celebrating progress along the way.

  5. Behavioral Experiments: CBT often incorporates behavioral experiments to test the accuracy of perfectionistic beliefs and predictions. Individuals are encouraged to engage in behaviors that challenge their perfectionism, such as intentionally making mistakes or setting aside tasks that cannot be completed perfectly.

  6. Behavioral Activation: CBT emphasizes the importance of engaging in enjoyable and meaningful activities, even if they cannot be done perfectly. The therapist helps the individual identify pleasurable activities and encourages them to schedule regular participation in these activities as a way to counteract perfectionistic tendencies.

  7. Problem-Solving Skills: CBT teaches individuals problem-solving skills to address obstacles and setbacks in a constructive manner. This involves identifying practical solutions to challenges, generating alternative strategies, and taking action to implement these solutions.

  8. Relaxation and Stress Management: CBT incorporates relaxation techniques and stress management strategies to help individuals cope with the anxiety and tension associated with perfectionism. This may include deep breathing exercises, progressive muscle relaxation, or mindfulness meditation.

  9. Exposure and Response Prevention: In some cases, individuals may benefit from exposure exercises to confront their fears of making mistakes or falling short of perfection. Exposure therapy involves gradually exposing the individual to situations that trigger perfectionistic concerns while preventing avoidance behaviors.

Overall, CBT provides a structured and evidence-based approach for treating perfectionism by addressing cognitive distortions, modifying maladaptive behaviors, and teaching practical skills for managing perfectionistic tendencies. Through CBT, individuals can develop more adaptive ways of thinking, behaving, and coping with the challenges associated with perfectionism. If you or someone you know experiences perfectionism, contact us today to begin your therapeutic journey at One Peace Therapy!

Perfectionism Treatment with Dialectical Behavioural Therapy (DBT)


Treating perfectionism with Cognitive Behavioral Therapy (CBT) involves a structured approach aimed at identifying and challenging the maladaptive thought patterns and behaviors associated with perfectionism. Here's how CBT can be used to treat perfectionism:

  1. Assessment and Psychoeducation: The therapist conducts an assessment to understand the individual's specific perfectionistic beliefs, behaviors, and the impact of perfectionism on their life. Psychoeducation about perfectionism is provided, explaining its nature, causes, and consequences.

  2. Identifying Perfectionistic Thoughts: The individual learns to identify and recognize their perfectionistic thoughts, such as all-or-nothing thinking ("I must do everything perfectly or I'm a failure") and catastrophic thinking ("If I make a mistake, it will be a disaster").

  3. Challenging Perfectionistic Beliefs: The therapist helps the individual challenge and reframe their perfectionistic beliefs using cognitive restructuring techniques. This involves examining evidence for and against perfectionistic thoughts, generating more balanced perspectives, and developing realistic standards.

  4. Setting Realistic Goals: The individual learns to set realistic and achievable goals that are based on personal values and priorities rather than perfectionistic standards. Goals are broken down into smaller, manageable steps, and progress is celebrated along the way.

  5. Behavioral Experiments: Behavioral experiments are conducted to test the accuracy of perfectionistic beliefs and predictions. The individual engages in behaviors that challenge their perfectionism, such as deliberately making minor mistakes or setting aside tasks that cannot be completed perfectly.

  6. Behavioral Activation: The individual is encouraged to engage in pleasurable and meaningful activities, even if they cannot be done perfectly. This helps to counteract perfectionistic tendencies and increase overall satisfaction and well-being.

  7. Problem-Solving Skills: The individual learns problem-solving skills to address obstacles and setbacks in a constructive manner. This involves identifying practical solutions to challenges, generating alternative strategies, and taking action to implement these solutions.

  8. Relaxation and Stress Management: Relaxation techniques and stress management strategies are taught to help the individual cope with the anxiety and tension associated with perfectionism. This may include deep breathing exercises, progressive muscle relaxation, or mindfulness meditation.

  9. Exposure and Response Prevention: In some cases, exposure exercises may be used to gradually confront the individual's fears of making mistakes or falling short of perfection. Exposure therapy involves exposing the individual to situations that trigger perfectionistic concerns while preventing avoidance behaviors.

  10. Relapse Prevention: The individual learns strategies to prevent relapse and maintain progress over time. This may involve identifying early warning signs of perfectionism, developing coping strategies for managing triggers, and seeking support when needed.

Throughout the treatment process, the therapist collaborates closely with the individual, providing support, encouragement, and guidance as they work towards overcoming perfectionism and improving their overall well-being. If you or someone you know experiences perfectionism, contact us today to begin your therapeutic journey at One Peace Therapy!


Click “play” to learn more about perfectionism and how to overcome your concerns with our Registered Psychotherapist (Qualifying), Rachael Fernandes!