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Breaking Free from Perfectionism: How Psychotherapy Can Help

  • Writer: jennifer olson-madden
    jennifer olson-madden
  • Mar 1
  • 2 min read


Wooden letters depicting statement that done is better than perfect

What Is Perfectionism?

Perfectionism is often mistaken for having high standards, but in reality, it’s much more than that. Psychologically, perfectionism is the unrelenting pursuit of flawlessness, accompanied by excessive self-criticism and fear of failure.


According to research, perfectionism has three main dimensions:

  1. Self-oriented perfectionism – Holding yourself to impossibly high standards.

  2. Socially prescribed perfectionism – Believing others expect perfection from you.

  3. Other-oriented perfectionism – Expecting perfection from those around you.


While some perfectionistic tendencies can fuel motivation, when perfectionism becomes rigid and self-punishing, it leads to anxiety, procrastination, and imposter syndrome.


How Perfectionism Creates Anxiety, Procrastination, and Imposter Syndrome

1. Perfectionism and Anxiety: The Fear of Not Being “Enough”

Perfectionism often fuels chronic anxiety because every action is weighed against an impossible standard. Thoughts like:

  • “What if this isn’t good enough?”

  • “What if I make a mistake and people judge me?”

  • “I need to do this perfectly, or I’ve failed.”

This fear of imperfection creates constant stress, self-doubt, and burnout, making even small tasks feel overwhelming.


How Psychotherapy Helps:

  • Cognitive Behavioral Therapy (CBT) can help identify and challenge the unrealistic thoughts driving perfectionism.

  • Acceptance and Commitment Therapy (ACT) teaches mindfulness techniques to break free from perfectionism-driven anxiety.

  • Exposure Therapy allows people to gradually confront mistakes and imperfections in a safe, controlled way.


2. Perfectionism and Procrastination: The Paralysis of “Not Good Enough”

Ironically, perfectionism often leads to procrastination, not productivity. When you feel paralyzed by the fear of not being good enough, you may delay starting or finishing a task.

Common perfectionistic procrastination thoughts include:

  • “I’ll start when I have enough time to do it perfectly.”

  • “If I can’t do it flawlessly, what’s the point?”

  • “I’ll never be happy with it, so I might as well put it off.”

This cycle creates stress, missed deadlines, and guilt, reinforcing the perfectionistic belief that you’re failing.


How Psychotherapy Helps:

  • Behavioral Activation helps break procrastination cycles by setting small, manageable goals.

  • Cognitive Restructuring challenges black-and-white thinking (e.g., "perfect or worthless").

  • Self-Compassion Therapy teaches how to embrace imperfection without self-judgment.


3. Perfectionism and Imposter Syndrome: Feeling Like a Fraud

Perfectionists often struggle with imposter syndrome—the belief that they aren’t truly competent and will eventually be "exposed" as a fraud. No matter how much they achieve, they feel undeserving of success.

Common imposter thoughts include:

  • “I only succeeded because I got lucky.”

  • “People think I’m better than I actually am.”

  • “If I don’t do everything perfectly, people will realize I’m not as capable as they thought.”


Perfectionists seek external validation but rarely feel satisfied with it, constantly raising the bar for themselves.


How Psychotherapy Helps:

  • Schema Therapy helps uncover the root beliefs fueling imposter syndrome.

  • ACT encourages detachment from self-critical thoughts and values-based living.

  • Exposure Therapy helps individuals take risks and see that imperfection does not lead to rejection.


Healing Perfectionism Through Psychotherapy

If perfectionism is controlling your life, therapy can help you:

✅ Challenge perfectionistic thinking and embrace flexibility.

✅ Manage anxiety by reducing fear-based decision-making.

✅ Overcome procrastination through small, actionable steps.

✅ Quiet imposter syndrome and develop self-trust.


You don’t need to be perfect to be worthy. You are enough as you are. Seeking therapy is a powerful step toward breaking free from the perfectionism trap and reclaiming peace of mind.

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Jennifer Olson-Madden, Ph.D.

Psychologist and Consultant

720-588-3823

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Denver, CO 80222 

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