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Perfectionism Therapy in Denver, CO for High-Achieving Adults

Perfectionism therapy helps you loosen the grip of relentless self-pressure, overthinking, and the fear of not being “enough.” Many high-achieving adults look capable and composed on the outside—but internally feel tense, behind, or one mistake away from falling apart. When perfectionism fuels anxiety, burnout, procrastination, or chronic self-criticism, therapy can help you build a sustainable relationship with ambition—without sacrificing your well-being.

When High Standards Start Costing You

Perfectionism is often praised. It can look like discipline, drive, excellence.

But over time, it can quietly morph into:

  • Over-preparing because “what if I miss something?”

  • Procrastinating because starting means risking imperfection

  • Re-reading emails five times before sending

  • Working late because “it’s not quite right yet”

  • Feeling anxious even when you’re succeeding

  • Struggling to rest without guilt

  • Moving goalposts the moment you achieve something

You may appear successful—yet feel chronically behind.

 

That tension is exhausting.

High-Functioning Anxiety + Perfectionism

Many high-achieving adults in Denver don’t identify as “anxious” at first. They identify as responsible. Driven. Productive.

 

But perfectionism often runs on anxiety:

  • Fear of disappointing others

  • Fear of losing status or momentum

  • Fear of being exposed as inadequate

  • Fear of slowing down

 

This combination—high-functioning anxiety + perfectionism—can create a cycle:

Pressure → Overwork → Temporary Relief → Exhaustion → Self-Criticism → More Pressure

 

Over time, that cycle leads to burnout.

Therapy helps you interrupt that loop without dulling your edge.

Perfectionism vs Healthy Striving

Healthy striving is flexible and values-driven.

Perfectionism is rigid and fear-driven.

 

Healthy striving says:
“I care about doing this well.”

Perfectionism says:
“If this isn’t flawless, I’ve failed.”

 

Healthy striving allows recovery.
Perfectionism punishes it.

 

In therapy, we don’t remove your standards.
We reduce the cost of those standards.

How Perfectionism Leads to Overwhelm and Stuckness

Many high achievers assume perfectionism prevents failure.

In reality, it often causes:

  • Decision paralysis

  • Avoidance of high-stakes opportunities

  • Procrastination masked as “planning”

  • Chronic dissatisfaction

  • Imposter syndrome

  • Burnout

 

When your nervous system is constantly bracing for error or evaluation, it becomes difficult to think clearly or act decisively.

 

That’s not a motivation problem.
It’s a regulation problem.

How Therapy Helps Perfectionism

Perfectionism responds well to structured, evidence-based therapy.

 

CBT: Shift the Thought Patterns

We identify cognitive distortions such as:

  • All-or-nothing thinking

  • Catastrophizing

  • “Should” and “must” rules

  • Performance-based self-worth

Then we test them gently and strategically in real life.

You don’t just talk about perfectionism—you experiment with new behaviors that loosen its grip.

 

ACT: Change Your Relationship to the Inner Critic

Perfectionism is often powered by an internal voice that says:

“You can’t afford to mess this up.”
“Other people are ahead.”
“You should be better by now.”

 

ACT helps you:

  • Defuse from that voice (“I’m noticing the perfectionism story again.”)

  • Make room for discomfort without shutting down

  • Take values-based action even when anxiety is present

Instead of waiting to feel confident, you learn to move forward imperfectly.

 

Mindfulness + Nervous System Regulation

 

Perfectionism keeps the body in quiet threat mode.

We work with:

  • Grounding practices

  • Breath-based regulation

  • Interoceptive awareness (catching escalation early)

  • Recovery rituals that reduce burnout risk

Sustainable ambition requires sustainable physiology.

Who This Work Is Especially Helpful For

I often work with:

  • Executives and entrepreneurs

  • Physicians, attorneys, and healthcare professionals

  • Graduate students and academics

  • High-achieving women balancing caregiving and career

  • Professionals navigating leadership transitions

  • Individuals experiencing burnout after years of over-functioning

 

Many clients say:

“I don’t want to lose my drive. I just don’t want it to hurt this much.”

That’s exactly the balance we work toward.

Perfectionism, Anxiety, and Burnout in Denver Professionals

In fast-paced, achievement-oriented environments like Denver’s professional landscape, perfectionism can feel adaptive—until it isn’t.

Therapy provides a structured space to:

  • Recalibrate your standards

  • Rebuild internal trust

  • Reduce overthinking

  • Create sustainable boundaries

  • Clarify what success actually means for you

Without abandoning ambition.

FAQs About Perfectionism Therapy

Is perfectionism a form of anxiety?

Perfectionism often overlaps with anxiety. It can be driven by fear of evaluation, fear of failure, or fear of losing control. Treating the anxiety component is often key.

 

Can perfectionism cause burnout?

Yes. Chronic self-pressure, overwork, and lack of recovery are major contributors to burnout—especially in high-achieving adults.

 

Why do I procrastinate if I care so much?

Procrastination is often an avoidance strategy when the stakes feel too high. If something must be perfect, starting becomes risky. Therapy reduces that pressure.

 

What is the best therapy for perfectionism?

CBT helps restructure rigid thought patterns. ACT helps shift your relationship with the inner critic and build psychological flexibility. Mindfulness supports regulation and recovery.

Perfectionism Therapy in Denver and Online Across Colorado

My practice is based in Denver, Colorado. I exclusively offer online therapy for adults across Colorado. Virtual sessions are also available in participating PSYPACT states where appropriate, depending on licensing and fit.

Jennifer Olson-Madden, Ph.D.

Psychologist and Consultant

TELEPSYCHOLOGY SERVICES ONLY

2000 S. Colorado Blvd,

Suite 2000-1024

Denver, CO 80222 

For questions related to services and rates, please see the Psychological Services page.​

 

Jennifer Olson-Madden, PhD, LLC offers services for all ethnic and minority groups and LGBTQIA+ adults in Denver, CO and 43 other states nationwide.

 

©2019-2026 by Jennifer Olson-Madden, PhD, LLC. Proudly created with Wix.com

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