Clinical perfectionism is a problematic strategy

Clinical perfectionism is a problem of strategy, not outcome. Perfectionists have high standards and expectations for themselves and others. This value can be a strength, as long as perfectionistic strategies aren’t compulsively used to control thoughts and feelings.

Adaptive perfectionism is a healthy, ego-syntonic way of approaching tasks that leads to a good outcome. Clinical perfectionism occurs when anxiety and OCD hijack your values and bully you into approaching goals in a way that undermines your performance.

Some of the characteristics of clinical perfectionism include

  • Rigidly following rules (“I should or must do things this way.”)

  • Every task is equally important.

  • Mistakes are catastrophic.

  • Repetition until it feels/looks/sounds “right.”

  • Missing deadlines due to procrastination.

To shift clinical perfectionism into adaptive perfectionism

  • Prioritize based on values.

  • Experiment and take risks.

  • Notice when your efforts result in diminishing returns.

  • Fight procrastination.

  • Identify conscientious people as models.

Self-talk that reduces Clinical Perfectionism includes

  • It’s okay for me to have high ideals. At any given moment, it’s also okay to be uncertain or make a mistake.

  • Any progress is better than no progress.

  • I’m willing to take a risk or make a mistake in this instance, in light of my values.

Behavior that reduces Clinical Perfectionism includes:

  • Practice guessing at the smallest next step and ending work on a task before it feels done.

  • Monitor whether you do tasks in order to feel “just right,” not due to what you value.

  • Bring up an attitude of curiosity so that you can learn from the consequences of your decisions and alter your future decisions. This type of learning prevents paralyzing self-criticism and eventually allows you to relax into uncertainty and being a work in progress.

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Worry as a process