Perfectionism

 

What is Perfectionism?

From the moment we are born to the day we die we are constantly being evaluated and judged by others and ourselves. In fact, one of your first experiences in life may have been a test! The APGAR test has been used for over 50 years to assess the functioning of newborns in the first minutes after birth. Of course, this is only the beginning of lifelong evaluations...

As infants our parents pay close attention to when we first roll over, when we say our first words, the age of our first steps and countless other milestones. As children we learn very quickly that if we want the approval of others we need to love up to certain standards - school grades being the most obvious example. As adults our career advancement (or lack of) is largely controlled by our performance on the job and the appraisals of others. 

In most cases there is absolutely nothing wrong with wanting to make others proud of us and setting challenging goals for ourselves. However, perfectionism differs from the healthy desire to achieve high standards. For someone with this difficulty, anything short of perfection is completely unacceptable. The standards of a perfectionist are set unrealistically high and there is a compulsive need to strive toward impossible goals.  

Areas Prone to Perfectionism

  • Work performance
  • School achievement
  • Cleaning and neatness
  • Organization and list making
  • Written work
  • Speaking and articulation
  • Physical appearance
  • Health, exercise, and athletic competition

Possible Negative Consequences of Perfectionism

  • Strained personal relationships with family and friends
  • Disappointing school performance
  • Reduced ability to enjoy work
  • Difficulty enjoying leisure and recreational activities
  • Depression and excessive self-criticism
  • Anger
  • Performance anxiety
  • Social anxiety
  • Obsessive-compulsive behavior
  • Eating disorders and body image problems
  • Difficulty trusting and depending on others

Therapy for Perfectionism

The specific course of therapy and the types of interventions used will depend on both the individual and the nature of the perfectionistic  tendencies. Common interventions include:

  • Assessing and evaluating perfectionistic tendencies through the use of a daily log

  • Identifying perfectionism triggers

  • Identifying and challenging automatic thoughts and cognitive distortions (e.g., all or nothing thinking, mind reading, probability over-estimations, etc.)

  • Reviewing the costs and benefits of more relaxed standards of self-evaluation

  • Reevaluating standards and setting specific, realistic, and attainable goals

  • Creating an exposure hierarchy and slowly breaking behaviors which maintain perfectionistic thoughts

  • Enlisting others to provide support and encouragement for change



If you or someone you know would like to receive help for dealing with perfectionism (and live in the Halifax area) please feel free to contact me to set up an initial consultation.
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Brent Conrad, Copyright 2008Last Updated: June 17, 2008