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Perfectionism

Perfectionism is the tendency to set very high standards and feel like you have to meet them flawlessly—anything less can feel like a failure. In psychology, it’s understood as a mix of high expectations, fear of mistakes, and strong self-criticism, often tied to your sense of worth. In simple terms, it’s not just aiming high—it’s feeling like only perfect is good enough.

Common Signs of Perfectionism

These patterns are seen as part of a cycle—high pressure, fear of falling short, and difficulty feeling satisfied, even when things go well.

What you may not be aware of about
perfectionism...

1

Self-oriented perfectionism among university students rose by 10% between 1989 and 2016

2

Around 1 in 3 high-achieving Australian students show signs of unhealthy perfectionism

3

Perfectionism is a strong predictor of clinical depression, with a moderate effect size (d = 0.49)

4

Half of employees with high levels of perfectionism report that it makes working in teams more difficult

Person working at a tidy, plant-filled desk with a laptop in a calm home workspace

What the research says about perfectionism

Perfectionism isn’t just about being driven or having high standards—it’s actually considered a key factor behind a range of mental health difficulties. Research shows it’s linked to things like depression, anxiety, OCD, eating disorders, and more.

A big part of the issue is how self-worth becomes tied to achievement. When things go well, the bar often gets raised even higher. When things don’t, it can lead to harsh self-criticism, which keeps the whole cycle going. Over time, this can show up as procrastination, overworking, avoidance, or constantly second-guessing yourself.

It can also make other mental health challenges harder to treat. But the flip side is encouraging—when perfectionism is addressed directly, people often see improvements across multiple areas, not just perfectionism itself.

What the research says about the most effective treatment

The strongest evidence we have is for Cognitive Behavioural Therapy (CBT). Studies consistently show that CBT leads to meaningful improvements in perfectionism, as well as related issues like anxiety and depression.

In practice, CT helps people:

  • loosen rigid, all-or-nothing thinking
  • reduce self-criticism
  • test out more flexible ways of approaching tasks
  • build a more balanced sense of self-worth

There’s also growing interest in newer approaches (often called “third wave” CBT), which look really promising:

  • Mindfulness-based approaches help people step out of overthinking and be less caught up in their thoughts
  • Acceptance and Commitment Therapy (ACT) focuses on reducing avoidance and reconnecting with what actually matters
  • Schema therapy explores deeper patterns, often shaped by earlier experiences
  • Self-compassion approaches help people relate to themselves in a kinder, more supportive way

One of the most important findings is around self-compassion. Research shows that even if someone still has high standards, being less self-critical can make a big difference to their mental health.

In a nutshell

Perfectionism isn’t just about “trying hard”—it’s a pattern that can keep people stuck. The good news is that it’s very treatable, especially with CBT, and approaches that build flexibility and self-compassion tend to make the biggest difference.

Tips for managing perfectionism

Picture of Written by Dr Elizabeth Woodcock

Written by Dr Elizabeth Woodcock

Clinical Psychologist, Director of MindBox Psychology

Our Psychologists are highly qualified, with Masters or Doctorate degrees in Clinical Psychology. We use evidence-based approaches, including Cognitive Behaviour Therapy (CBT) and Mindfulness, to help individuals struggling with perfectionism, supporting them in managing high self-expectations, reducing anxiety, and developing a balanced mindset.