Perfectionism

THERAPY FOR

Perfectionistic tendencies can feel like such a double-edged sword. While achieving success and receiving validation can feel great, the high stakes can coincide with intense self-criticism and an underlying fear that nothing you do is ever "enough." Over time, perfectionism tends to exacerbate stress, burnout, and anxiety, making it challenging to simply rest or feel comfortable in your own skin.

Perfectionism is multilayered and often co-occurs with other mental health issues, including anxiety, depression, eating disorders, and more. The perfectionism can intensify those mental health symptoms, and the mental health symptoms may magnify perfectionism, causing a vicious cycle that is difficult to break.

At Elevé Therapy & Co, we help individuals struggling with perfectionist tendencies understand the root causes of their behaviors and develop strategies to find more balance, wellness, and self-acceptance.

We treat some of the following types of perfectionism in our practice:

01. Achievement-Oriented Perfectionism

Do you hyperfocus on your academics, career, or professional success? Maybe you have an immense fear of failure and connect your self-worth to your external achievements. Or maybe you're struggling with burnout due to your impossibly high standards.

Those who experience achievement-oriented perfectionism often resonate with the relentless pursuit of professional success. It's like there is a motor inside that never stops moving. You feel like you need to go, go, go, and the idea of stopping or even slowing down can feel threatening.




In therapy, we can help you with this struggle by:

  • untangling your internal worth from external validation or external successes
  • further exploring the negative consequences associated with working too much or working too hard
  • learning how to set realistic goals that honor your desire to achieve excellence without feeling consumed by perfectionism
  • treating the underlying mental health concerns that may be exacerbating achievement-oriented perfectionistic tendencies

02. Appearance-Oriented Perfectionism

Do you feel excessively preoccupied by your body image or overall physical appearance? Maybe you worry about being rejected due to how you look. There may also be co-occurring struggles with disordered eating or body dysmorphia.



In therapy, we help individuals experiencing this perfectionistic struggle by:

  • exploring negative thought patterns about your physical appearance and connecting how they impact your well-being
  • cultivating a deeper appreciation for your body and what it can do rather than how it looks
  • strengthening coping skills to manage stress/anxiety around your physical appearance

03. Health-Oriented Perfectionism

Of course, it's important to look after your physical health, but what happens when trying to take care of yourself feels like an obsession with wellness or fitness? Do you experience anxiety when you deviate from a specific exercise or eating routine? Do you relate to struggles surrounding orthorexia or compulsive exercise tendencies?

People with health-oriented perfectionism spend excessive time and energy trying to achieve optimal physical well-being. While it may seem like a worthwhile pursuit, it may leave little room for making mistakes, being human, or even accepting things beyond your control.


Therapy can treat health-oriented perfectionism by:

  • exploring core beliefs contributing to health-oriented perfectionism and understanding the emotional roots that may be creating the desire for control
  • practicing more self-compassion in everyday life
  • enhancing psychological flexibility, allowing you to deviate from your routine or rules when needed
  • cultivating healthier coping mechanisms for managing underlying emotions or needs

04. Socially-Prescribed Perfectionism

Do you feel like your worth is largely contingent on you meeting the high standards of others? Maybe you have been criticized or rejected by others for not maintaining a certain status quo. Or maybe you're associated with a workplace or professional environment that has no problem setting unrealistic expectations for its employees, even if it's at the cost of their mental health.

Socially-prescribed perfectionism is a systemic issue that may be deeply embedded in cultural norms, societal structures, and family values. If a certain group prioritizes success as its top priority, there tends to be a hyperfocus on productivity over individual wellness.


Therapy can help you with socially-prescribed perfectionism by:

  • unpacking core beliefs about what it means to achieve perfection for other people
  • learning how to slowly shift away from external validation into more self-acceptance
  • identifying when and where healthy boundaries may need to be discerned
  • identifying and tending to people-pleasing tendencies
  • breaking free from all-or-nothing thinking to combat perfectionism

FAQs

Perfectionism is complex and stems from various environmental and genetic factors. With that, it's unlikely that one specific variable causes perfectionism. Instead, some of the main risk factors include:
  • childhood trauma, including emotional neglect
  • having one or more caregivers who were hyper focused on success
  • cultural norms associated with high standards and a strong work ethic
  • certain types of competitive environments (i.e. rigorous schools, competitive sports)
  • low self-esteem
  • co-occurring anxiety disorders
  • experiencing love that felt conditional as a child, having parents with perfectionistic tendencies, living in a culture where high standards are the norm

Many perfectionists tend to have high self-awareness. They generally recognize that they hold themselves to high standards, and they know they don't like making mistakes. Many are also overly self-critical in numerous settings, including at home, work, school, and in relationships.

However, you may not think there's anything problematic with your thought patterns or behavior. It may really seem like you "have" to be this way in order to get things done or secure approval. Even if you're holding yourself to unattainable standards, you may reason that, if others are doing it, there's no reason you shouldn't do it, too.

With that, perfectionism can also be subtle. For example, some people chronically procrastinate. While this may not seem like a symptom of perfectionism, it can be. If you're so afraid of getting it wrong, you struggle to start something at all. Perfectionism can also show up in other avoidance behaviors. You may, for instance, struggle to commit to relationships because you're focused on finding the "perfect" person or the timing being perfect.

First things first- absolutely nothing is wrong with you! Perfectionism is an adaptive mechanism that's rooted in good intentions. We're all wired to want to succeed and improve our chances of survival- this is some of the essence of what it means to be human.

Unfortunately, perfectionism comes with some steep costs. It can truly feel like nothing you do is good enough, no matter how hard you try. The fear of failure or rejection may be holding you back at work or in your relationships. You may also become so obsessed with personal growth that you can't relax or enjoy the present moment.

Furthermore, perfectionistic behaviors are personally demanding and often exacerbate mental health issues like depression, anxiety, PTSD, eating disorders, and more. When there's a constant need to do or have more, it's hard to enjoy what you already have.



First, it's important to focus on strengthening your self-awareness.Your therapist will help you gain insight into where your perfectionism originated. They will also explore how it is serving you and how it is negatively impacting you. You will unpack some of the fears associated with letting go of your realistic goals.

Many clients fear that addressing their perfectionism means lowering their standards or diminishing their professional productivity. They also worry that overcoming perfectionism means they'll somehow become too relaxed or too lazy. These are entirely valid fears, but therapy is less focused on "fixing" or "changing" you and more about embracing self-acceptance and balance.

While high standards can be positive, perfectionistic tendencies are built on a deep fear of failure and a cruel inner voice. Therapy focuses on cultivating more self-compassion and building emotional resilience.

Like most deeply-rooted traits, overcoming perfectionism is a process. Our therapists largely pull from acceptance and commitment therapy (ACT), humanistic therapy, and Kristin Neff's extensive research on self-compassion.

ACT emphasizes the concept of psychological flexibility, helping you shift away from rigid standards and toward a more values-driven life. This entails embracing deeper values exploration and making necessary changes to ensure you're living more authentically. Humanistic therapy deeply focuses on maintaining a non-judgmental space where you can freely explore your feelings and needs.

Finally, self-compassion work helps individuals increase their overall well-being by embracing more self-kindness, practicing more mindfulness, and recognizing that you're wholeheartedly and imperfectly human. These modalities all promote resilience and support balance and wellness.

Therapy for Perfectionism in San Diego, California

Elevé Therapy & Co is a modern group therapy practice specializing in supporting clients with perfectionism and its intersection with low self-esteem, anxiety, burnout, and more. We understand how insidiously perfectionism can fuse with certain identities. You may not really know who you are outside of what you achieve.

The good news is that it’s entirely possible to untangle yourself from your perfectionist thinking. We are here to help you break free from impossible standards and live more authentically. We offer a variety of convenient online therapy services for individuals living throughout California.

Please contact us today to schedule an initial consultation.


You are more than what you achieve.

A MODERN THERAPY GROUP IN CALIFORNIA