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Hi there, I'm Erica.
Licensed to practice in California and New York.
As a recovering perfectionist and high-achieving professional, I understand how independence and self-reliance can fuel success while also making it difficult to ask for support. Elevé was created to offer more than generic stress management. It was built to provide specialized therapy that understands the psychology of performance and pressure.
FOUNDER OF ELEVé THERAPY & CO, LMFT
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Perfectionism vs high standards can look similar on the outside, especially for high achievers, but they feel very different on the inside. High standards are values-driven and flexible. Perfectionism is fear-driven and rigid, often showing up as overthinking, guilt when resting, and never fully feeling done.
High standards are values-driven and flexible. Perfectionism is fear-driven and rigid. High standards leave room for rest, learning, and repair. Perfectionism turns normal human moments into evidence you’re failing.
Whether you’re dealing with perfectionism vs high standards, the difference matters – because one is values-driven and the other is fear-driven. For many high achievers, perfectionism doesn’t look like “trying to be perfect.” It looks like overthinking, bracing, and never fully feeling done. If you’re Googling things like “why can’t I stop overthinking,” “I can’t relax even when things are good,” or “why do I feel like I’m failing when I’m doing fine,” perfectionism may be running the show.

Common ways it shows up:
Perfectionism at work often looks like competence. Internally, it feels like pressure, vigilance, and never being able to exhale.
People often assume perfectionism only affects performance. But in relationships, it can look like:
At 2am, this often sounds like:
“Why am I so sensitive?” “Why do I feel like I’m too much?” “Why do I need reassurance?” “Why can’t I just be normal?”
That’s not you being broken. That’s the nervous system trying to stay safe through control.
Perfectionism isn’t just a personality trait – it can show up as symptoms:
If you’ve Googled: “why do I feel anxious for no reason” or “I’m doing well but I feel miserable,” you’re not alone.
Therapy for perfectionism isn’t about lowering your standards or becoming unmotivated. It’s about changing what’s driving you.
In individual therapy, many high achievers work on:
That’s the goal: still driven, but no longer bracing for failure.
Overthinking is often your brain trying to create certainty to feel safe. Therapy helps you calm the nervous system and build tolerance for uncertainty so your mind doesn’t have to work overtime.
Perfectionism often links worth to productivity. Rest can trigger fear (“If I stop, I’ll fall behind” or “I’ll lose my edge”). We work on untangling worth from output.
They’re closely linked. Perfectionism is often a coping strategy for anxiety – control, checking, and over-preparing to prevent uncomfortable feelings.
Yes. When your baseline is pressure and vigilance, your system never truly recovers. Burnout isn’t just about workload – it’s about the relationship you have with yourself while working.
Not by forcing positive thoughts. Usually it’s a mix of insight (where the inner critic came from), skill-building (regulation + boundaries), and practicing new responses when the critic shows up.
If you keep getting stuck in perfectionism vs high standards thinking, therapy can help you build steadiness without losing your edge.
If you’re curious about working together, you can learn more about individual therapy for perfectionism.
And if you’re ready to take the next step, you can schedule a consultation. Elevé Therapy & Co offers virtual therapy across California.
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Based in San Diego, Erica Basso, LMFT leads a team with over a decade of clinical experience helping clients across California and New York navigate life's most difficult moments — and create meaningful change.
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