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Anxiety and Overthinking

When Perfectionism Feeds Anxiety

High standards can be a strength. But when every email needs three rereads, a small mistake ruins your day, or you avoid starting because it might not be good enough, perfectionism may be keeping anxiety running. CBT offers a way to examine the rules you live by without asking you to stop caring.

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01

Standards Versus Rules

There is a difference between wanting to do good work and believing you must never fall short. Perfectionism often operates as a set of unspoken rules: "if I make a mistake, people will lose respect for me" or "anything less than my best is failure." In CBT, you can put those rules into words and look at where they came from, what they protect you from, and what they cost you.

02

The Hidden Costs

Perfectionism can quietly take up a large part of your time and energy. It may show up as procrastinating on important projects, overpreparing for simple tasks, struggling to delegate, or feeling empty after an accomplishment because you immediately notice what could have been better. Some people also find it hard to rest. Naming the costs in your own life helps clarify what you would like to be different. It also gives you a reason to try something different.

03

Checking, Redoing, and Avoiding

Behaviors that feel like diligence can keep anxiety high. Checking work again and again, redoing something that was already acceptable, and steering away from tasks where you might look inexperienced all reduce discomfort in the short term. Over time, they can strengthen the belief that mistakes are dangerous. Therapy can help you design small experiments, like sending an email after a single review, and observe what follows. You can then compare the result with your prediction.

04

Self-Criticism and Its Alternatives

Many people with perfectionism carry a harsh inner voice they believe keeps them motivated. CBT can help you examine whether that voice actually helps or mostly adds stress. You might practice describing a mistake the way you would for a friend, specifically and fairly. The aim is a working relationship with yourself that allows learning, rather than a constant search for what went wrong. Small, consistent practice tends to matter more than dramatic change.

05

Working on This With Marie

Marie Sarte, LCSW, offers practical, collaborative CBT for teens, young adults, and adults in Oregon. Sessions are online across the state, and you can ask about current Portland office availability. If perfectionism is affecting school, work, or relationships, a free 15-minute consultation is a chance to talk it through and see whether working together makes sense. You do not need to have a perfect description of the problem before reaching out. A rough sense of where it shows up is enough to begin.

Questions You May Have

Will therapy make me care less about doing well?

That is not the goal. The work focuses on rules and habits that create distress, while respecting the values behind your standards.

Is perfectionism a diagnosis?

It is usually described as a pattern of thinking and behavior. Marie can talk with you about how it shows up for you.

Marie Sarte, LCSW

Marie Sarte, LCSW

A conversation is a place to start.

Request a free 15-minute consultation to discuss fit and practical questions.

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