OCD Types Obsessive Compulsive Disorder (OCD) and Perfectionism By Owen Kelly, PhD Owen Kelly, PhD Owen Kelly, PhD, is a clinical psychologist, professor, and author in Ontario, ON, who specializes in anxiety and mood disorders. Learn about our editorial process Updated on August 14, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print portishead1 / Getty Images Table of Contents View All Table of Contents What Is Perfectionism? OCD and Perfectionism Tips Coping Has anyone ever accused you of trying to be better than perfect? Perfectionism alone is difficult enough to cope with, but it's also long been thought to play a role in the development and maintenance of obsessive compulsive disorder (OCD) and other forms of mental illness. Let’s explore the relationship between OCD and perfectionism. What Is Perfectionism? Before we talk about perfectionism and OCD, it's important to define perfectionism. Perfectionism, to some degree, can be beneficial. When contrasted with the other end of the spectrum, perfectionistic tendencies are typically preferable to "slob" tendencies. So how can you know what is good (and not only good but ideal) and what is not? Research on perfectionism has indicated that there are two main types of perfectionism: adaptive/health perfectionism and maladaptive/unhealthy perfectionism. Adaptive/Healthy Perfectionism Adaptive/healthy perfectionism tends to be associated with good psychological well-being and high achievement both at school and at work. This type of perfectionism is characterized by: ConscientiousnessGoal-directed behaviorGood organizational skillsHigh standards for yourself as well as othersPersistence in the face of adversity Maladaptive/Unhealthy Perfectionism Maladaptive/unhealthy perfectionism, on the other hand, has been associated with distress, low-self esteem, and symptoms of mental illness. This type of perfectionism is characterized by: Being heavily invested in the high expectations of others, such as parents or employersDoubts about whether you are doing something correctlyExcessive preoccupation with controlExcessive preoccupation with past mistakesFears about making new mistakes ADHD Symptom Spotlight: Perfectionism OCD and Perfectionism The unhealthy form of perfectionism has been strongly linked to obsessive-compulsive disorder (OCD). Perfectionism appears to be particularly strong if you have a strong need for things to be done “just right” or require certainty. Tied to a Need for Certainty For example, unhealthy perfectionism tends to be very high if you feel that your compulsions have to be done in exactly the right way. In these cases, it is not uncommon to believe that if the compulsion is carried out perfectly, a feared outcome, such as the death of a loved one, will be avoided. May Increase Checking Behaviors Unhealthy perfectionism tends to be high if your OCD symptoms revolve around checking. Specifically, if you do not feel you have perfect certainty that you have locked the door or turned off the stove, you might return to check these items over and over again. Tied to this is the excessive fear of making a catastrophic mistake. You might worry about things such as leaving the door open all day or burning down the house by leaving the stove on. Checking over and over again reinforces the idea that you are not perfect or possibly even "losing your mind." This can make you feel even worse and less self-confident which can then worsen checking behaviors. Can Intensify Obsessions Unhealthy OCD perfectionism may help to perpetuate obsessions. For instance, like many people with OCD, you might believe that you must have complete control over your thoughts. When a bizarre or distressing thought pops intrusively into your mind, you label these thoughts as dangerous because they are out of your control. This causes you to monitor the thought even more closely, which can help to create an obsession. Coping With OCD Perfectionism What can you do to cope with OCD perfectionism? The first step is to recognize OCD in yourself as well as your perfectionistic tendencies. There are a few things that can work particularly well in coping. Adopt a Mindful Stance Mindfulness emphasizes being less “invested” in our thoughts. Accepting that we have less control than we think over our thoughts can be very helpful in reducing the distress that often accompanies intrusive thoughts. Mindfulness meditation exercises can help to promote a more objective awareness of our day-to-day thoughts and emotions. Cognitive Behavioral Techniques Techniques often used in cognitive behavioral therapy (CBT) can also be helpful. Techniques such as cognitive restructuring and behavioral experiments can be helpful in learning to objectively evaluate the likelihood and/or consequences of making catastrophic or even minor mistakes. Cognitive therapy can also be a useful tool for critically examining the beliefs we hold about ourselves and others. By working with a therapist, you can learn to identify and change these unhealthy beliefs and behaviors. Practice Giving Up Control As part of cognitive behavioral therapy and/or exposure and response prevention therapy, you may be asked to participate in exercises designed to build distress tolerance. This is your capacity to tolerate a loss of control. Examples include things that involve being prevented from checking something or adjusting something until it is "just right." Although this can initially be extremely distressing, over time, you will gain more confidence in your ability to tolerate a loss of control. Talking with a therapist is an excellent way to gain a greater understanding of your condition, and provides the feedback needed as you work to reduce the impact on your life. Living With OCD Perfectionism There are a number of things that you can do to address both symptoms of OCD as well as perfectionism. Some ideas: Try self-help strategies. Many of the self-help behaviors that help people cope with OCD may also help with perfectionism. Work on changing unhealthy perfectionism. Specifically, addressing perfectionism related to the condition is likely to help with many aspects of the disorder. Work on overachieving behaviors. Techniques that help overachievers address perfectionism may also make a difference with OCD. Perhaps the most important point of noting the role of perfectionism with OCD, however, is to recognize how OCD is different for everyone. Whatever personality traits a person has can come to play in the disorder. Press Play for Advice On Dealing With Perfectionism Hosted by Editor-in-Chief and therapist Amy Morin, LCSW, this episode of The Verywell Mind Podcast, featuring Peloton instructor Ally Love, shares how to focus on progress instead of aiming for perfection. Click below to listen now. Follow Now: Apple Podcasts / Spotify / Google Podcasts A Word From Verywell Only a therapist who knows you well and understands both OCD and appreciates you as a person can best help you navigate your journey through life with OCD. If you need help with symptoms of OCD, perfectionism, or both, talk to your doctor or a mental health professional. 6 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Bieling PJ, Israeli AL, Antony MM. Is perfectionism good, bad, or both? Examining models of the perfectionism construct. Personality and Individual Differences. 2004; 36: 1373-1385. doi:10.1016/S0191-8869(03)00235-6 Limburg K, Watson HJ, Hagger MS, Egan SJ. The relationship between perfectionism and psychopathology: A meta-analysis. J Clin Psychol. 2017;73(10):1301-1326. doi:10.1002/jclp.22435 Soreni N, Streiner D, Mccabe R, et al. Dimensions of perfectionism in children and adolescents with obsessive-compulsive disorder. J Can Acad Child Adolesc Psychiatry. 2014;23(2):136-43. Frost, RO, Rheaume, J. Chapter 6 - Perfectionism in Obsessive Compulsive Disorder. Cognitive Approaches to Obsessions and Compulsions. 2002: 91-105. doi:10.1016/B978-008043410-0/50007-6 James K, Rimes KA. Mindfulness-based cognitive therapy versus pure cognitive behavioural self-help for perfectionism: A pilot randomised study. Mindfulness (N.Y). 2018; 9(3): 801-814. doi:10.1007/s12671-017-0817-8 Sadri SK, Anderson RA, Mcevoy PM, Kane RT, Egan SJ. A pilot investigation of cognitive behavioural therapy for clinical perfectionism in obsessive compulsive disorder. Behav Cogn Psychother. 2017;45(3):312-320. doi:10.1017/S1352465816000618 Additional Reading Sadri S, Anderson R, McEvoy P, Kane R, Egan S. A pilot investigation of cognitive behavioral therapy for clinical perfectionism in obsessive compulsive disorder. Behav Cogn Psychother. 2017 May;45(3):312-320. doi:10.1017/S1352465816000618 By Owen Kelly, PhD Owen Kelly, PhD, is a clinical psychologist, professor, and author in Ontario, ON, who specializes in anxiety and mood disorders. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for OCD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.