A symptom checklist to help clients reflect on perfectionistic thinking and behavior, and consider whether further psychological support may be beneficial.
Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.
Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.
Perfectionism is a self-evaluative tendency characterized by the relentless pursuit of high personal standards, often at the expense of wellbeing. Although not formally recognized as a mental health diagnosis in the DSM-5 or ICD-11, perfectionism is associated with increased risk of anxiety, depression, eating disorders, and suicidality. This symptom checklist is designed to help clients and clinicians identify perfectionistic patterns that may contribute to emotional distress or impairment. It is not intended to provide a diagnosis or assess severity, but it can support early discussions about whether further evaluation is warranted.
Perfectionism can be difficult to identify – especially when it’s masked as conscientiousness or a motivation to achieve. This resource:
For clients who report rigid standards, fear of failure, or excessive self-criticism.
For individuals with depression, anxiety, or disordered eating where perfectionism may be a maintaining factor.
Gently introduce the possibility of perfectionism using the suggested therapeutic prompt.
Complete the checklist together, focusing on achievement standards, self-criticism, and coping.
Reflect on how these patterns relate to the client’s presenting difficulties.
Use the insights to guide further assessment, case formulation, or intervention planning.
Perfectionism is often conceptualized as a transdiagnostic process — a pattern of thoughts and behaviors that cuts across multiple psychological disorders. According to cognitive-behavioral models, perfectionism involves:
Although perfectionism is not a stand-alone diagnosis, it is frequently a relevant therapeutic target. This symptom checklist can help identify clients who may benefit from interventions aimed at reducing self-critical beliefs, modifying perfectionistic rules, and increasing behavioral flexibility.
