Perfectionism: signs, types, a self-check and how to ease it

CareOps editorial team · · 9 min read

Mental wellness information and service guidance published by CareOps.

About the CareOps editorial team

The CareOps editorial team publishes these guides. Sources are linked at the end of each article; examples are illustrative, not customer stories. Product descriptions refer to CareOps Maeumi. Publication and revision dates appear above.

Read our full editorial standards →

You finish a task and still don't feel relieved. Someone praises your work and you think, “It's still not good enough.” You reread a short email several times, and one small mistake stays with you all day. Perfectionism is neither a flaw that must be removed nor a strength to be proud of. Separating the kind that pushes you forward from the kind that holds you back makes it easier to work with.

At a glance

  • Perfectionism means setting very high standards and judging yourself by them. Research separates striving for high standards from worrying about mistakes and being judged (perfectionistic concerns).
  • It is the worry side that is more strongly linked with burnout, anxiety and depression. So easing perfectionism is less about dropping your standards and more about separating results from your worth.
  • Cognitive behavioral therapy (CBT) works with perfectionism through steps such as “good enough” experiments and cutting back on checking. A free perfectionism check (SAPS, eight items) shows which side yours leans toward.
Try a self-assessment without signing inSAPS · PerfectionismDistinguish high standards from feeling that you fall shortStart the check →

What is perfectionism?

Perfectionism is a tendency to want flawless results, set very high standards and judge yourself against them. It is not a diagnosis but a personality trait that everyone has to some degree. What matters is less how high the standards are and more how you treat yourself when you fall short of them.

Reviewing the research, Stoeber and Otto (2006) described an approach that splits perfectionism into two dimensions. Perfectionistic strivings, the pursuit of high standards, were linked with positive characteristics, and they concluded that striving directed at yourself can be positive as long as you are not overly worried about mistakes and others' negative judgments. Perfectionistic concerns, by contrast, involve fearing mistakes, feeling that you fall short and depending on others' evaluations.

StrivingsConcerns
Inner voiceI want to do this wellA mistake ruins everything
After finishingSome satisfaction remainsOnly the flaws stand out
After a mistakeLook for what to fixBlame yourself for long

Three types of perfectionism

Hewitt and Flett (1991) divided perfectionism into three types according to whom the demand for perfection is aimed at. One person can have all three.

  • Self-oriented perfectionism: you demand perfection of yourself. “This isn't good enough” sounds like your own voice.
  • Other-oriented perfectionism: you expect perfection from others. You find it hard to delegate, and other people's mistakes bother you a lot.
  • Socially prescribed perfectionism: you feel that others demand perfection of you. The thought “Everyone will be disappointed if I slip up” follows you around.

A study pooling data from 41,641 university students in the United States, Canada and the United Kingdom between 1989 and 2016 (Curran & Hill, 2019) found that all three types rose steadily, and the largest increase was in the sense that others demand more of you. One way to read this is that perfectionism is tied not only to personal stubbornness but also to environments full of comparison and evaluation.

Eight common signs of perfectionism

These patterns often show up when perfectionistic concerns are high. Recognizing a few does not mean something is wrong; the list is a way to see where your perfectionism is costing you.

  • Your standards rise once you reach them. After succeeding, you think “That was nothing” and set the bar higher.
  • Satisfaction after finishing is brief. One disappointing spot lingers longer than everything that went well.
  • You dwell on mistakes. A small slip spreads into the conclusion “I'm not good enough.”
  • Checking and revising are hard to stop. You reopen emails you've sent and keep editing work that is already done.
  • You can't hand things off. You expect others' work to fall short, so you end up doing it all yourself.
  • You discount praise. You brush it off with “I got lucky” or “Anyone could do this.”
  • Rest doesn't feel restful. Unfinished tasks stay on your mind.
  • You put off starting when you aren't sure you'll do well.

The first pattern matches Shafran and colleagues' (2002) description of clinical perfectionism: falling short brings self-criticism, and reaching a standard leads to deciding it wasn't demanding enough, so there is never room to feel satisfied. If, as in the last pattern, needing to do well makes it hard to start at all, our article on the lazy perfectionist explains how perfectionism turns into procrastination. If trying to pick the best option makes even small choices drag on, see indecisiveness and how to stop.

Perfectionism, burnout, anxiety and depression

A meta-analysis of 43 studies with 9,838 people (Hill & Curran, 2016) found that perfectionistic strivings had little or a slightly negative relationship with burnout, whereas perfectionistic concerns went along with burnout to a medium-to-large degree. In work settings, the concerns side was sometimes even more harmful. If you're exhausted but can't let go of work, also see burnout signs.

Another meta-analysis of 284 studies (Limburg et al., 2017) reported that both dimensions of perfectionism are associated with a range of difficulties, including depression, anxiety disorders, obsessive-compulsive symptoms and eating problems. A meta-analysis on self-esteem (Khossousi et al., 2024, 32,304 people) found a clear link between stronger perfectionistic concerns and lower self-esteem (r = −.42), while strivings were barely related to self-esteem (r = .06). These figures describe how often things occur together, not that perfectionism causes these difficulties.

Easing perfectionism: five steps from CBT

A meta-analysis of eight studies on psychological interventions for perfectionism (Lloyd et al., 2015) found large reductions in perfectionism scores and medium reductions in anxiety and depression symptoms after the interventions. The researchers concluded there is some evidence that perfectionism can be reduced. The steps below adapt CBT methods for everyday use.

  1. List the costs and benefits: write down what your high standards have given you alongside the time, sleep and relationships they have cost. It becomes clearer what you want to keep and what you want to reduce.
  2. Separate results from your worth: write “This report has weak spots” and “I am inadequate” as two separate sentences. The first can be fixed; the second is a verdict.
  3. Run a “good enough” experiment: pick one low-stakes task and finish it with less polishing than usual. Before you do, write down what you expect to happen, and afterward compare it with what actually happened.
  4. Set limits on checking and revising: decide in advance where to stop, such as “reread once” or “send after 20 minutes.” It may feel uncomfortable at first, but cutting back on checking lets you see what actually happens when you do.
  5. Change what you say to yourself after a mistake: say to yourself what you would say to a friend who made the same mistake. Our article on self-esteem and self-compassion covers this practice in more detail.

The third step is a behavioral experiment from CBT. Here is a fictional example.

What to writeExample
Task to testShare meeting notes after only a spelling check
PredictionMy manager will think I didn't try (80% sure)
What happenedA “thanks for the notes” and one question
What I learnedThe extra hour of polishing didn't change much

You can also record the prediction and the outcome separately in our thought reflection worksheet. For perfectionism that flares up near deadlines, see perfectionism before a deadline.

Perfectionism test: which side does yours lean toward?

The CareOps perfectionism check is an eight-item questionnaire based on the SAPS developed by Rice and colleagues (2014). It shows “high standards” and “feeling that you fall short” as separate scores, so you can see whether your perfectionism pushes you forward or holds you back. You can take it right away, with no login.

Try a self-assessment without signing inSAPS · PerfectionismDistinguish high standards from feeling that you fall shortStart the check →

When to get support

If perfectionism turns into strict rules about eating, weight or body shape, if you can't stop checking or arranging and daily life is falling apart, or if self-criticism after mistakes lasts for days and affects your sleep and work, talk with a mental health professional. If eating is a concern, see eating disorder signs. If checking is hard to stop, see OCD symptoms.

If you want to keep your standards but ease up on yourself

CareOps Maeumi is an AI counseling app that runs sessions using therapy approaches such as cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). Together you can look at the thoughts that come up after a mistake, choose small practices such as a “good enough” experiment, and pick up how it went in the next session. Get the app

Frequently asked questions

Is perfectionism good or bad?
It depends on which side you mean. Striving for high standards had weak links with burnout and low self-esteem, whereas worrying about mistakes and judgment went along more strongly with burnout, anxiety and depression. So the goal is to keep your standards while easing the worry side.
Is perfectionism a mental illness?
Perfectionism is a personality trait, not a diagnosis. Research does show that it often occurs alongside difficulties such as depression, anxiety, obsessive-compulsive symptoms and eating problems, so if it is affecting your life a lot, it is worth exploring with a professional.
How is perfectionism different from OCD?
Perfectionism is about high standards and judging yourself by them. OCD involves unwanted thoughts that keep coming back and actions to reduce the anxiety that are hard to stop, to the point of disrupting daily life. The two can occur together. See OCD symptoms for more.
Do I have to lower my standards to ease perfectionism?
Not necessarily. What needs to change is less the height of the bar and more how you react when you fall short. The key is deciding how much each task actually needs and practicing not blaming your whole self when a result disappoints.
Where can I take a perfectionism test?
The CareOps perfectionism check is an eight-item questionnaire based on the SAPS that shows high standards and the feeling of falling short as separate scores. It is free and needs no login.

Sources

  1. Stoeber & Otto (2006), Positive Conceptions of Perfectionism: Approaches, Evidence, Challenges, Personality and Social Psychology Review
  2. Hewitt & Flett (1991), Perfectionism in the self and social contexts, Journal of Personality and Social Psychology
  3. Curran & Hill (2019), Perfectionism is increasing over time, Psychological Bulletin
  4. Hill & Curran (2016), Multidimensional Perfectionism and Burnout: A Meta-Analysis, Personality and Social Psychology Review
  5. Limburg et al. (2017), The Relationship Between Perfectionism and Psychopathology: A Meta-Analysis, Journal of Clinical Psychology
  6. Khossousi et al. (2024), The relationship between perfectionism and self-esteem in adults, Behavioural and Cognitive Psychotherapy
  7. Shafran, Cooper & Fairburn (2002), Clinical perfectionism: a cognitive-behavioural analysis, Behaviour Research and Therapy
  8. Lloyd et al. (2015), Can Psychological Interventions Reduce Perfectionism?, Behavioural and Cognitive Psychotherapy
  9. Rice, Richardson & Tueller (2014), The Short Form of the Revised Almost Perfect Scale, Journal of Personality Assessment

This guide shares mental wellness information. If you are in immediate danger, contact emergency services where you are. Support and contact information.

Read next