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The perfectionism and anxiety loop, and how to loosen it

Most of the perfectionists I meet do not call themselves perfectionists. They call themselves tired. They redraft the same message five times, replay a meeting at 2am, or put off starting something until they can do it properly, which somehow never quite arrives. Underneath is a low, steady hum of worry that they are one slip away from being found out. That worry is not a character flaw, and it is not simply high standards. It runs in a loop with anxiety, each one feeding the other. Loops, though, can be interrupted.

The short version

  • Perfectionism is not the same as having high standards. It becomes a problem when your sense of worth depends on meeting them.
  • Perfectionism and anxiety feed each other. High stakes lead to over-preparing, checking and avoiding, which soothe you for a moment and then push the bar higher.
  • This pattern sits underneath a lot of anxiety, and by some measures it has been rising in younger generations.
  • You loosen it with small experiments, not by trying harder to relax.

High standards are not the problem

Let me clear one thing up early, because it trips a lot of people. Wanting to do good work is not perfectionism. Ambition, care, taking pride in something: none of that needs fixing. Researchers who study this tend to separate two sides. One is the striving side, which sets the bar high. The other is the self-critical side, which ties your worth to clearing the bar and treats any shortfall as evidence about you as a person. It is the second side that is most closely linked to distress (Stoeber and Otto, 2006).

Clinicians have a name for the version that hurts: clinical perfectionism, where you judge yourself heavily on striving and achievement, and keep pushing even when it is costing you your sleep, your time, or your relationships (Egan, Wade and Shafran, 2011). The standard itself is not the issue. The all-or-nothing meaning attached to it is.

How the loop turns

Here is the pattern I draw out with people, over and over. You set a standard that is very high, sometimes quietly impossible. Because so much feels at stake, the task fills up with threat, and anxiety climbs. To bring the anxiety down you do something: you over-prepare, check the work again, ask for reassurance, or avoid starting at all. In the short term, that brings relief. This is the catch, because relief is a powerful teacher, and it teaches you that things only went fine because you caught every flaw. So next time the bar goes up, and the fear of dropping it grows with it. Round it goes.

Perfectionism promises that if you are careful enough, you will finally feel safe. The anxiety is the bill for that promise.

This is not a niche problem. Perfectionism turns up as both a risk factor and a maintaining factor across anxiety, depression and eating difficulties, which is why researchers describe it as transdiagnostic: a single thread running through several problems rather than a problem all of its own (Egan, Wade and Shafran, 2011). If you have read our complete guide to anxiety therapy, you can think of perfectionism as one of the engines sitting under the bonnet.

Why it can feel worse now

If this is you, you are in a great deal of company, and possibly more than a generation ago. One large analysis pooled data from more than 40,000 university students in the United States, Canada and the United Kingdom, and found that perfectionism rose steadily between 1989 and 2016, including the sense that other people expect more of us (Curran and Hill, 2019). Constant comparison, visible metrics on almost everything, and a culture that prizes output all give the loop more to feed on. It is worth naming that some of this is environmental. You did not simply decide to be this way.

Small experiments that loosen it

You cannot argue your way out of perfectionism, and telling yourself to relax rarely lands. What does help is testing the rules, gently, and collecting evidence that the feared thing does not actually happen. In therapy we call these behavioural experiments. Pick one. Keep it small.

Name the rule

Perfectionism runs on rules you have never said out loud: never send anything with a typo, always be the most prepared person in the room. Write yours down as a plain sentence. Seen in daylight, a rule is much easier to question, and often a little absurd.

Lower the bar on purpose

Take something low-stakes and deliberately do it to about eighty percent. Send the email after one read. Leave the kitchen tidy-ish. Then watch what really happens. Almost every time, the sky stays up, and you get back both time and proof.

Put a timer on it

Give a task a fixed slot: forty minutes for the report, then it goes. A limit you set in advance caps the endless polishing that anxiety loves, and it forces the useful question of what good enough actually looks like here.

Change the tone in your head

Notice how you speak to yourself when something falls short. If you would not say it to a friend in the same position, it is probably neither true nor useful. Swapping a harsh inner voice for a steadier, kinder one is not going soft. It takes the fuel out of the self-critical side of the loop, which is the side doing the damage.

When to reach for more help

Perfectionism is common, and small changes genuinely move it. But if it is driving anxiety that gets in the way of your work, your sleep or the people you love, it is worth more support, and here is the hopeful part: this responds well to treatment. A 2022 review of fifteen randomised trials found that cognitive behavioural therapy focused on perfectionism reduced not only perfectionism itself but also symptoms of anxiety and depression (Galloway et al., 2022). A GP or a BACP-registered therapist is a sound place to start, and Mind has practical self-help and links to further support.

This article is for general information and is not a substitute for personal medical advice. If you are struggling to cope, or you are in crisis or at risk of harm, contact your GP, call 999 or NHS 111 in the UK, or a crisis line such as Samaritans on 116 123. brightloaf is not a crisis service.

Mel, Lead Psychotherapist at brightloaf

Written by Mel, Lead Psychotherapist at brightloaf.

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References

  1. Stoeber J, Otto K. Positive conceptions of perfectionism: approaches, evidence, challenges. Personality and Social Psychology Review. 2006;10(4):295-319. doi.org: 10.1207/s15327957pspr1004_2
  2. Egan SJ, Wade TD, Shafran R. Perfectionism as a transdiagnostic process: a clinical review. Clinical Psychology Review. 2011;31(2):203-212. doi.org: 10.1016/j.cpr.2010.04.009
  3. Curran T, Hill AP. Perfectionism is increasing over time: a meta-analysis of birth cohort differences from 1989 to 2016. Psychological Bulletin. 2019;145(4):410-429. doi.org: 10.1037/bul0000138
  4. Galloway R, Watson HJ, Greene D, Shafran R, Egan SJ. The efficacy of randomised controlled trials of cognitive behaviour therapy for perfectionism: a systematic review and meta-analysis. Cognitive Behaviour Therapy. 2022;51(2):170-184. doi.org: 10.1080/16506073.2021.1952302
  5. Mind. Self-care for mental health problems (published October 2017). mind.org.uk: self-care for mental health problems