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Is perfectionism considered to be a mental illness?

Perfectionism is a personality trait characterized by the relentless pursuit of flawlessness and setting impossibly high standards for oneself. While not classified as a mental illness in itself, perfectionism is closely linked to various mental health issues, including anxiety disorders, obsessive-compulsive disorder (OCD), and depression.

Definition and Characteristics of Perfectionism

Perfectionism can be defined as the tendency to strive for perfection and be overly critical of oneself. People with perfectionistic tendencies have a strong desire to avoid mistakes and are driven by a fear of failure. They set excessively high standards for themselves and often struggle with self-criticism and a preoccupation with their mistakes.

Common characteristics of perfectionistic individuals include:

  1. High standards and expectations: Perfectionists have a tendency to set unattainable goals for themselves and others. They have rigid criteria for success and are often dissatisfied with any outcome that falls short of perfection.
  2. Fear of failure: Perfectionists have an intense fear of making mistakes or falling short of their own lofty expectations. This fear can lead to anxiety and avoidance of tasks or situations where failure is perceived as a risk.
  3. Excessive self-criticism: Perfectionists are highly self-critical and tend to focus on their flaws and perceived shortcomings. They have a constant inner voice that judges and criticizes their every move.
  4. Preoccupation with mistakes: Perfectionists often fixate on their past mistakes, analyzing and obsessing over every detail. They struggle to let go of perceived failures and may dwell on them for extended periods of time.
  5. Difficulty accepting imperfections: Perfectionists have a hard time accepting and embracing imperfections, both in themselves and in others. They may have a strong need for control and struggle with uncertainty.

Link between Perfectionism and Mental Health

The relationship between perfectionism and mental health is well-documented. Perfectionism is strongly associated with various anxiety disorders, including generalized anxiety disorder (GAD), social anxiety disorder (SAD), and panic disorder. Perfectionists often experience excessive worry and fear, constantly striving to meet their own unrealistic standards.

Obsessive-compulsive disorder (OCD) is another mental health condition closely linked to perfectionism. While OCD is characterized by intrusive thoughts and repetitive behaviors, there is significant overlap between perfectionism and the need for order, control, and the fear of making mistakes.

Depression is also commonly associated with perfectionism. Research has shown that individuals with high levels of perfectionism are more prone to depressive symptoms. The constant pressure to achieve perfection and the fear of failure can contribute to feelings of inadequacy, low self-esteem, and the development of depressive disorders.

Perfectionism as a Risk Factor for Other Mental Health Conditions

Perfectionism is also considered a risk factor for developing other mental health conditions, such as eating disorders and substance abuse disorders. Individuals with perfectionistic tendencies may develop anorexia nervosa or bulimia nervosa due to their obsession with achieving a perfect body image.

Substance abuse disorders are also associated with perfectionism, as individuals may turn to drugs or alcohol as a way to cope with the pressure and stress of constantly striving for perfection. Substance abuse can further exacerbate mental health issues and create a vicious cycle of self-destructive behavior.

Additionally, perfectionism is closely related to workaholism. Perfectionistic individuals often feel a compulsive need to be constantly productive, fearing the consequences of not meeting their own high standards. This drive for perfection can lead to chronic overwork, stress, and burnout.

Impact on Personal Relationships and Social Functioning

Perfectionism can have a significant impact on personal relationships and social functioning. The fear of judgment or rejection often makes it challenging for perfectionists to form close and intimate relationships. Their high standards for themselves extend to others, and they may consistently expect others to meet their unrealistic expectations.

Perfectionism can also lead to strained relationships due to the individual’s constant need for control and their aversion to making mistakes. Perfectionists may fear criticism or disapproval, causing them to be overly cautious in social interactions and avoiding situations where they may be evaluated or judged.

Treatment Options for Perfectionism

Recognizing and addressing perfectionistic tendencies is essential for improving mental well-being. Several treatment options can be beneficial for individuals struggling with perfectionism:

  1. Cognitive-behavioral therapy (CBT): CBT is a widely used and effective therapy approach for treating perfectionism. It involves challenging irrational beliefs and perfectionistic thinking patterns, developing more flexible and realistic standards, and learning effective coping strategies.
  2. Medication: In some cases, medication may be prescribed to individuals with perfectionism if they are also experiencing anxiety or depressive symptoms. Anti-anxiety or antidepressant medications can help reduce symptoms and support overall mental well-being.
  3. Support groups and self-help resources: Connecting with others who face similar challenges can provide support, validation, and a sense of belonging. Support groups and self-help resources can offer shared experiences and strategies for managing perfectionism.


While perfectionism is not considered a mental illness on its own, it is closely linked to various mental health issues. Perfectionism can contribute to anxiety disorders, OCD, depression, and other conditions, as well as negatively impact personal relationships and social functioning. Seeking help and support is crucial in managing and overcoming perfectionism, and treatment options such as cognitive-behavioral therapy, medication, and support groups can be incredibly beneficial. Embracing self-acceptance and self-compassion is essential for leading a healthier and more fulfilling life.


  1. How Perfectionism Is Linked to Anxiety and Mental Health
  2. Perfectionism: Symptoms, Treatment, and Prevention
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  4. The effects of perfectionism on mental and physical health
  5. The many faces of perfectionism