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What Keeps Perfectionism Going?

The “What Keeps It Going?” series is a set of one-page diagrams explaining how common mental health conditions are maintained. Friendly and concise, they provide an easy way for clients to understand at a glance why their disorders persist, and how they might be interrupted. What Keeps Perfectionism Going? is designed to help clients experiencing perfectionism understand more about their condition.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

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Languages this resource is available in

  • Chinese (Simplified)
  • English (GB)
  • English (US)
  • Polish
  • Spanish (International)

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Introduction & Theoretical Background

Striving to achieve your goals and ambitions can be satisfying and help you grow as an individual, but it can also become a problem. If you set demanding standards for yourself (such as how you should behave, or how much you should achieve), there’s a risk you won’t meet them. If you base your self-worth on achieving those standards, or if trying to meet them causes you a lot of trouble, you may be struggling with perfectionism. Signs of unhelpful or problematic perfectionism include:

  • Having high standards which are difficult to achieve or maintain over time. 
  • Harshly criticizing yourself when you don’t meet your standards.
  • Judging your self-worth mainly in terms of your successes and achievements in life. 
  • Discounting achievements you see as less than perfect.
  • Avoiding or postponing tasks where there’s a risk you might fail.
  • Sacrificing your interests, relationships, or rest to strive and achieve.
  • Pushing yourself

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Therapist Guidance

One interesting way of thinking about perfectionism is to look at why, for some people, it does not get better by itself. This handout shows some of the most common reasons why some people keep experiencing symptoms of perfectionism. I wonder if we could look at it together and think about whether it describes some of what is happening for you?

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References And Further Reading

  • Lloyd, S., Schmidt, U., Khondoker, M., & Tchanturia, K. (2015). Can psychological interventions reduce perfectionism? A systematic review and meta-analysis. Behavioural and Cognitive Psychotherapy, 43, 705-731.
  • Shafran, R., Cooper, Z., & Fairburn, C. (2002). Clinical perfectionism: A cognitive behavioural analysis. Behaviour Research and Therapy, 40, 773-791. 
  • Shafran, R., Egan, S. J., & Wade, T. (2010). Overcoming perfectionism: A self-help guide using cognitive-behavioural techniques. Constable and Robinson.
  • Suh, H., Sohn, H., Kim, T., & Lee, D. G. (2019). A review and meta-analysis of perfectionism interventions: Comparing face-to-face with online modalities. Journal of Counseling Psychology, 66, 473.

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