The terms obsessive compulsive disorder (OCD) and perfectionism tend to be used interchangeably to describe an individual who desires order, is goal-oriented, and has high personal standards. However, there are several important distinctions. To start, OCD is a diagnosable mental health condition, whereas perfectionism is a personality trait. That said, perfectionism can be a trait seen in OCD.
What Is Perfectionism?
Perfectionists generally focus on the need to perfect and “correct” themselves.1 They often base their self-worth on achievements, and the only way they can feel confident is to be flawless or seen as such. They tell themselves that if they stop ever achieving, they will lose the admiration of others. There is no middle-ground for perfectionists, and second place is not good enough.
- Adaptive Perfectionism: Adaptive perfectionism is characterized by being goal-oriented and motivated toward success.
- Maladaptive Perfectionism: Maladaptive perfectionism causes the person to fear failure, judge themselves and others, and be unable to accept anything less than perfection from themselves and others.
What Is OCD?
OCD is a disorder that can only be diagnosed by a mental health professional. It is characterized by unwanted recurring thoughts or images (obsessions), which create anxious thoughts and/or repetitive behaviors (compulsions). This person may organize and keep things arranged in a particular manner, but it’s more of an effort to manage anxiety vs. evidence of perfectionism.
Perfectionism vs. OCD: Key Differences
In general, perfectionists make no room for mistakes. They can also be excessively preoccupied with past mistakes, previous offenses, and fear of future failures. Those closest to them may feel like they cannot do anything right due to their exacting standards. However, unlike OCD, perfectionism is not a diagnosable condition.
Perfectionism Vs. OCD
| Perfectionism | OCD | |
| General definition | A character/psychological traits. The individual believes that imperfections in self and/or others are unacceptable. | A mental health condition consisting of anxiety-driven obsessions, compulsions, or both. OCD is not directly linked to perfectionism. |
| Types | Adaptive: goal-oriented, organized, determined, and exacting standards. Maladaptive: unattainable expectations for self and/or others, fear of mistakes, and preoccupation regarding control. | Contamination, Symmetry, Checking, Harm, Somatic, Religious, Sexual, and Hoarding. |
| Level of Severity | These personality traits range from being adaptive to maladaptive or interfering with a person’s level of functioning. Less severe than OCD. | The disorder is time-consuming and impacts a person’s social, occupational, or other areas of functioning. Requires treatment |
| Person’s attitude about condition/personality traits | People with perfectionistic personalities tend to welcome the orderliness it brings to their lives. | Individuals with OCD tend to recognize that their thoughts and behaviors are problematic. |
Is Perfectionism a Type of OCD?
Perfectionism may not be a specific type of OCD, but it is an associated feature. People with OCD tend to overestimate their responsibility in a situation and struggle to tolerate uncertainty, which can lead to perfectionism. Many people with OCD will be perfectionistic, while not all perfectionists will have OCD.
Can Perfectionism Cause OCD?
Though there may be a bidirectional relationship between OCD and perfectionism, it is impossible to say that perfectionism causes OCD. The more likely explanation is that the same factors that could lead someone to become a perfectionist could trigger OCD.
OCD and Perfectionism: Connections
While many people have certain habits that look like OCD, such as color-coding their clothing, eating the same thing for lunch every day, or refusing to use a public toilet, OCD is much more complicated. OCD causes significant disruption in one’s life, and is more than just a collection of habits or “quirky” behaviors. Those with OCD can and do have perfectionistic tendencies.
A Need for Certainty
A need for certainty means that a person will engage in no behaviors unless there is absolute clarity regarding the outcomes. There is not room for chance or risk in this person’s life.
Perfectionism Can Increase Checking Behaviors
Since perfectionists cannot tolerate making a mistake, they may check and recheck items frequently. This checking behavior could include their work, their door locks, or their stove.
Perfectionism Can Make Obsessions Worse
Obsessions tend to be irrational and rigid, and they allow perfectionism to grow. Perfectionism can lead a person to increase the frequency or intensity of their obsessions, which in turn increases the need to perform compulsions.
How to Cope With OCD & Perfectionism
For those who are dealing with OCD and perfectionistic tendencies, there are many ways to cope. Initially, ways to deal with OCD perfectionism include practicing recognition and acceptance. Then, by challenging unhelpful or harmful thoughts and tendencies. This is often the most difficult step because it can feel unnatural to question the way we think and feel about expectations and high standards.
The following tips can be helpful in coping with OCD perfectionism:
- Decrease overachievement: When people neglect their health to pursue perfection in work, school, and other areas of life, overachievement becomes a threat to physical and emotional well-being. Try to recognize the value of effort vs. outcome, and reward success along the way
- Practice mindfulness: Mindfulness involves focusing on the present moment without imposing outside judgements. When we focus on the present moment rather than some potential future, we are able to reduce anxiety.
- Practice letting go: Through exposure to situations that are less than perfect, a person can learn to tolerate the distress associated with imperfection and the thoughts that accompany these situations.
- Learn to evaluate critical thinking: People who struggle with perfectionism tend to listen to the in their head more than the average person. These thoughts need to be identified and challenged.
- Practice self-care: Neglecting one’s physical and emotional needs will increase stress and inhibit their ability to be successful.
- Learn to accept criticism: The art of distinguishing between criticism and personal attack is a crucial skill in personal growth.
Treatment for Perfectionism OCD
If you are dealing with perfectionism OCD, it is important to locate a trained mental health professional. Online therapist directories make it easy to research information like insurance coverage, populations treated, and types of treatment offered. Look for a therapist who has experience in treating OCD and utilizes exposure & response prevention (ERP). You can also consult your insurance carrier by calling the customer service number on your card.
If you are having difficulty locating a mental health professional, your primary care physician (PCP) may be able to provide a list of therapists and psychiatrists in your area. Therapists will generally utilize ERP to treat OCD and perfectionism OCD.5 However, there are also cases when your therapist will refer you to a psychiatrist or a psychiatric nurse practitioner for medication evaluation. Typically, if medication is prescribed, a selective serotonin reuptake inhibitor (SSRI) will be suggested.
Perfectionism & OCD Infographics
