Why Perfectionism Hurts Mental Health

Dr Neeshu Rathore
Dr Neeshu Rathore

A/Prof, Psywellpath Founder

 
November 17, 2025 3 min read

TL;DR

This article explores the detrimental effects of perfectionism on mental well-being. Covering its roots in psychological theories, its impact on various mental disorders, and practical strategies from psychotherapy to combat its negative influence. It highlights how striving for unattainable standards can lead to anxiety, depression, and strained relationships, and offers paths toward self-compassion and mindfulness for improved mental health.

Understanding Perfectionism: More Than Just High Standards

Perfectionism, huh? It's not just about liking things neat, is it? It's like, a whole thing. You know, that voice in your head that's never satisfied? Let's unpack this a bit.

So, it's easy to think perfectionism is just having high standards. But nah, it's more than that.

  • It's that feeling of never being good enough, no matter what. Like, you ace a test, but all you can think about are the two questions you missed.

  • It's seeing mistakes as personal failings, not learning opportunities. That presentation at work? One tiny flub and you're convinced you're gonna get fired.

  • it's about self-worth being conditional. if i hit this sales target, then i'm worthy. if i don't? well...

According to Key Counseling Group, perfectionism can lead to impossible standards, impacting mental and physical health. It's not just striving.

Let's move on to the types of perfectionism, because there's more than one way to be a perfectionist!

The Link Between Perfectionism and Mental Health Disorders

Did you know that being a perfectionist isn't just about wanting things just so? It can really mess with your mental health. Like, seriously.

Perfectionism often goes hand-in-hand with anxiety and depression, and it's not a pretty combo. It's like, if you're constantly afraid of screwing up, you're gonna be anxious, right? And that anxiety? It just fuels more self-criticism. It's a vicious cycle, really.

  • Imagine a finance manager who is so afraid of making a mistake that she is constantly second-guessing decisions, causing serious anxiety
  • Or a retail associate who's internal voice is constantly berating their every action and is constantly worried about being fired for not being perfect

It makes you wonder how many are struggling with this. And, as Norwegian School of Sport Sciences points out in their 2023 research, perfectionism is connected with mental ill-health in young people.

Next up, we'll look into how perfectionism messes with eating habits and body image.

The Brain and Behavior: How Perfectionism Takes Root

Okay, so, why do some people become perfectionists? It's not like, a conscious choice, right? More like, something that gets baked in.

  • Neurological factors might play a role. Are there differences in brain structure or function? Maybe.
  • Think about neurotransmitters – like serotonin or dopamine. Are they out of whack in perfectionists? Maybe it affect how they feel reward and motivation.
  • And what about stress? How does constant pressure affect the brain of someone who's always striving?

Early childhood is a big one. What kind of experiences might set someone on the path? What if your parents are constantly on you? Or, on the flip side, neglect, trauma, abuse? That could defintiely do it. Next, let's consider eating habits and body image.

Breaking Free: Therapeutic Approaches to Overcoming Perfectionism

Okay, so you’ve realized perfectionism is kinda running your life? It's a tough spot to be in, but defintiely not impossible to get out of.

  • Cognitive Behavioral Therapy (cbt) is one popular method. It's all about spotting those nagging thoughts and learning to challenge them. So, a project manager who thinks they need to micromanage every detail might learn to trust their team more.
  • Acceptance and Commitment Therapy (act) is another approach. It's centers around accepting imperfections instead of fighting them. picture a musician who gets crazy anxious before every performance. act can help them acknowledge that anxiety, but still rock the show.
  • Self-compassion and mindfulness are also super helpful. Learn to be kinder to yourself when you screw up. Like, imagine a software engineer who's code breaks. Instead of spiraling, they could give themselves a break and then calmly fix it.

These approaches can help you break free from the perfectionism trap. It is possible to find a more balanced way of living. Remember that internal peace is the real goal.

Dr Neeshu Rathore
Dr Neeshu Rathore

A/Prof, Psywellpath Founder

 

Clinical Psychologist, Associate Professor in Psychiatric Nursing, and PhD Guide with extensive experience in advancing mental health awareness and well-being. Combining academic rigor with practical expertise, Dr. Rathore provides evidence-based insights to support personal growth and resilience. As the founder of Psywellpath (Psychological Well Being Path), Dr. Rathore is committed to making mental health resources accessible and empowering individuals on their journey toward psychological wellness.

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