The Link Between Perfectionism and Anxiety in High-Achieving Women

 
Woman in yellow sweater, and brown hair, standing next to white wall holding perfectionism-anxiety worksheets.

Why “Never Good Enough” Might Be Fueling Your Stress

If you're a high-achieving woman juggling deadlines, expectations, and the quiet pressure to “have it all together,” you’re not alone. Many women who excel in their careers or academic lives also struggle privately with anxiety—and often, perfectionism is the hidden root.  In order to move towards healing, we will start by exploring the connection between anxiety and perfectionism, followed by a discussion on some steps you can take to shift your mindset.


Perfectionism: The Hidden Driver of Anxiety

Perfectionism is never just about "doing well." It extends well beyond this and demands flawless execution. While perfectionism often looks like ambition or diligence, it can lead to:

  • Chronic Stress and Overwhelm

  • Fear of Failure or Rejection

  • Difficulty Celebrating Success

  • Procrastination or Burnout

In my work with female leaders, entrepreneurs, athletes, young professionals, and women working in male-dominated industries, I often see perfectionism manifest as harsh and unkind self-talk, an inability to rest, or a constant fear of being "found out" as not good enough—despite impressive accomplishments.


Why It Hits High-Achieving Women the Hardest

Perfectionism is often praised in our culture, especially in high-performing environments. But for women, it’s also tangled up in gendered expectations. For example, a woman should be hardworking and successful, yet she should never come off as overly confident or arrogant. A woman should be driven, but not "too driven." A woman should be competent, yet equally accommodating.

Now, add in societal messaging around appearance, parenting, relationships, and leadership. The pressure to excel in all areas can become overwhelming and suffocating.

Over time, these unrealistic standards create a feedback loop.

Circular graph of the perfectionism-anxiety feedback loop stating:High Achievement → Higher Pressure → More Anxiety → Stronger Perfectionism → Repeat

Anxiety-Perfectionism Feedback Loop

 

Signs You May Be Caught in the Perfectionism-Anxiety Loop

  • You replay conversations in your mind, worried you may have said the wrong thing.

  • You put off projects, fearing they won’t be “perfect enough.”

  • You feel like a failure when things don’t go exactly as planned.

  • You struggle to rest or slow down, even when exhausted.

  • You define your worth by what you do, not who you are.

If any of these sound familiar, please know you are NOT broken or alone. Unfortunately, you’ve been taught to measure yourself in unsustainable ways.

 


3 Ways I Help Clients Work on Healing the Perfectionism-Anxiety Cycle

I empower high-achieving women and professionals to loosen the grip of perfectionism by:

1. Reducing All-or-Nothing [or] Black & White Thinking

Perfectionism often manifests in an extreme "all-or-nothing" / "black and white" thoughts. For example, "The project has to be perfect, or it is an utter failure." In therapy, you will learn to identify and challenge this narrative. I know it's hard to see now, but it is very liberating to embrace the idea of "good enough" and recognize that your effort doesn’t need to be perfect to be valuable.

2. Building a Self-Compassion Practice

Many of my clients are incredibly kind to others—but hard on themselves. We work on turning that kindness inward, replacing the inner critic with a more supportive, realistic voice. Please remember, you are just as deserving of the same advice you would give to someone else.

3. Redefining What Success Actually Means to You

Perfectionism often thrives on external pressures and unrealistic expectations, not what you want your life to look like and feel like. In therapy, you will have the opportunity to identify your values so you can reshape your idea of success. When focusing on values over perfection, we tend to experience a happier, more fulfilling life that is grounded in authenticity.


Image of mac laptop computer on white desk open and ready for online perfectionism therapy.

Online Anxiety and Perfectionism Therapy Can Help You Break the Cycle

Perfectionism and anxiety can become deeply ingrained in day-to-day life. However, that doesn’t mean it’s permanent. Therapy offers a safe space to help you identify and challenge beliefs and patterns that keep you stuck, so you can build new, healthier paths.

At Wellcore Healing, I specialize in Online Anxiety and Perfectionism Therapy for high-achieving women who are ready to stop running on empty. If you're tired of the constant pressure to be perfect and want to feel more grounded, confident, and aligned—let's talk.


 Ready to Take the First Step with Online Counseling?

You don’t have to stay stuck in the stress cycle. Let’s talk.

 


Alexis Verbin, LCSW, LICSW

Alexis Verbin is the founder of Wellcore Healing and a licensed therapist specializing in online therapy for anxiety, self-esteem, imposter syndrome, perfectionism, grief, and stress. She empowers women in male-dominated industries and high-achieving women, female executives, business owners, overwhelmed moms, and young adults to thrive through personalized, evidence-based therapy.

Online Therapy Services

Alexis offers online therapy for residents of Colorado, Massachusetts, Vermont, and Florida. With a focus on mental wellness, she uses techniques like Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Mindfulness to support her clients. Whether you're in Denver, Boston, Burlington, or Clearwater, Wellcore Healing provides compassionate, evidence-based support wherever you are.

https://www.wellcorehealing.com
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