At a glance
Perfectionism is the sense that your worth is paid for by your performance. You want to be released from the standard and you do not trust what you would be without it. This article sets out where that bargain was learned, what it costs at home, and what changes it.
Clinical insights from 22 years in psychotherapy
I’m Mark Colclough, MA, psychotherapist in Copenhagen. Qualified at the Psychosynthesis Education Trust and the University of East London. 22 years of full-time, face-to-face clinical practice.
- They arrive exhausted. Few of my clients arrive talking about perfectionism. They arrive tired, behind on something, and unable to say why it costs this much.
- The hardest minute. The hardest session is the one where something has gone well and I ask a client to stay with it for a full minute.
- Who set the bar. The clients who get somewhere with this are the ones who work out who set the standard, and then decide whether they still agree with that person.
Clinical notes: My observations are anonymised and compounded from my session notes since 2004.
What is perfectionism, really?
Perfectionism is a bargain in which you are acceptable on condition of performance. You agreed to it long ago and almost certainly without words. The standard itself does you no harm. The condition attached to it does.
Research separates 2 parts of it, the high personal standards and the fear of mistakes and of being judged, and both parts are linked to a wide range of psychological difficulty rather than only the fearful one1. That is why I treat perfectionism as something to work on in its own right, and not as a strength with a small cost attached.
The clearest place to look is the hour after you have done something well. High standards give you a short satisfaction, and then the next thing. Perfectionism gives you relief that has gone by morning, as though a debt has been serviced rather than cleared.
Where does perfectionism come from?
Perfectionism begins somewhere it made sense. A child works out quickly what earns warmth and what brings a cold room, and adjusts.
- Warmth that arrived with results. Where approval came with achievement and went missing without it, a child learns that performance is the price of belonging.
- A school that graded everything. The same lesson arrives without any failing by a parent.
- An effortlessly good sibling. Being measured against someone starts early and stays long after anyone says the comparison out loud.
- An illness in the family. Being easy to look after was the most useful thing a child could be.
- A move abroad. Working in a second language among colleagues who were already established narrows the room for being ordinary, so the standard goes up and stays up.
What survives is the condition rather than the circumstances that taught it: regard has to be paid for. Anyone who holds that belief is unable to rest, and my clients recognise it long before they stop acting on it. There is more on your attachment style.

What does perfectionism do to a relationship?
Perfectionism makes the other person feel measured, and being measured is a lonely thing. What follows at home is ordinary enough that neither of you sees it happening.
- The help gets corrected. The dishwasher has to be loaded the right way, so the way your partner loaded it is quietly redone.
- The help stops. Every offer was amended, so the offers end.
- The work goes uneven. Within a year you are doing most of it and are furious about it, and some of that load is yours because you took it.
- The misreading. A partner who has stopped offering looks distant to you, when discouraged is the more accurate word.
Across studies, perfectionism goes with poorer marriages, a small to moderate link2. Those studies differ so much from one another that the size of the link tells you little. What it supports is that this lives in the relationship and not only in the person holding the standard.
At home it surfaces as uneven work and resentment long before it surfaces as an argument. There is more on how to let go of resentment and feeling disconnected from your partner.
How do I tell high standards from perfectionism?
You tell them apart by what a mistake costs you rather than by the quality of your work.
- What does an error cost? A high standard makes a mistake annoying and instructive. Perfectionism makes it evidence about you.
- Can you stop? A standard has a finish line, and someone with high standards crosses it and goes to bed.
- Who finishes it? Where the work is holding a feeling off, the revising carries on until a deadline takes the thing out of your hands.
- Who are you allowed to disappoint? Most people keep one or 2 relationships where falling short is survivable. When the answer is nobody, and the list includes people whose opinion you do not respect, the standard was never yours.
Procrastination belongs here. A thing not yet started is still capable of being excellent, and the moment you begin it becomes a real object with faults in it. These questions are here to help you understand the pattern rather than to settle it, and the answers move with how much else you are carrying.
How do I stop being a perfectionist?
You work on the bargain itself rather than on each thing it attaches to. Lowering your standards is the advice everybody gives and almost nobody manages to follow, because the standard is not what holds the pattern in place.
- Do one thing less than well, on purpose. Pick something that does not matter: send the message after one read, leave the spare room as it is.
- Meet whatever turns up. The feeling that arrives is what the effort has been holding off, and most of my clients have never looked straight at it.
- Stay with what went well. Hold it for a full minute before you list what was wrong with it. The minute is a suggestion, not a clinical threshold.
- Find where the condition was learned. Name who set the bar, and what meeting it protected you from at the time.
- Count what it costs now. Rest, finished work, and a partner who has stopped offering.
- Decide whether you still agree. A defence stays until you can see what it was for, and some of it you will decide to keep.
- Let your partner say it. Someone has lived alongside this for years and holds views they have learned to keep to themselves.
There is more on how couples fight, and how to fight better.
These steps are not enough when the feeling under the standard is too much to meet alone, or when the relief of getting it right pulls you straight back. That is the point to work on it with a therapist, and the free 30-minute call is a sensible place to start. How much of the standard you want to keep stays unsettled for a while, and it should: that question is yours to answer slowly rather than mine to answer for you.
Questions people ask
How does therapy help with perfectionism?
It works on what the standard protects you from, which is the part holding the pattern in place. We look at where the bargain was made and what it costs you now, rather than at your list of tasks.
Will a therapist tell me to lower my standards?
No, and in my clinical view that advice fails because the standard was never the difficulty. I am more interested in what you expect to happen if you fall short.
How long does therapy for perfectionism take?
That follows how much of your sense of worth is tied to performance, and I would rather say after a few sessions than before. Some clients want a short focused piece of work and others something longer.
Should I come alone or with my partner?
Come alone where the standard is aimed mainly at you, and come together where the correcting has become the shape of the relationship. Some clients do both.
What if I try to be a perfect client?
Many clients do, and it is useful material rather than a problem. Noticing it in the room is the quickest route I know to the pattern outside it.
If nothing ever feels good enough, I can help you look kindly at the standard you hold yourself to in perfectionism therapy.
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Sources
- Limburg, K., Watson, H. J., Hagger, M. S. and Egan, S. J., The relationship between perfectionism and psychopathology: a meta-analysis, Journal of Clinical Psychology, 2017
- Hadian Hamedani, K., Majzoobi, M. R. and Forstmeier, S., The relationship between perfectionism and marital outcomes: a systematic review and meta-analysis, Frontiers in Psychology, 2024
How this article was written: I choose the subject and the angle. An AI assistant researches and drafts. I read the draft, correct and improve it and stand behind every clinical statement. The professional and clinical judgement is mine.