Client profile
Get free credentialing when you sign up for SimplePractice

Perfectionism worksheets

Published April 10, 2026

simple illustration of a SOAP template document

Download the free perfectionism worksheets

Download now
person looking at their computer using perfectionism worksheets
simple illustration of a SOAP template document

Download the free perfectionism worksheets

Download now

Summary

  • Use perfectionism therapy worksheets to help clients identify the three distinct types of perfectionism and the health risks associated with unrealistic standards.

  • Implement evidence-based strategies like CBT and SMART goal setting to challenge maladaptive thoughts and foster more flexible thinking patterns.

  • Use the perfectionism worksheets to provide structured psychoeducation and collaborative reflection during individual or group therapy sessions.

  • Encourage the practice of self-compassion and the reframing of failure to improve client self-esteem and reduce symptoms of burnout.

Equip your clients with the tools they need to transition from paralyzing perfectionism to healthy striving using our perfectionism therapy worksheet.

This article provides an overview of perfectionism and exercises to overcome it. 

We’ve included a free downloadable perfectionism worksheet that you can save to your electronic health record (EHR) and use in your practice.

What is perfectionism?

Perfectionism involves the setting of unrealistically high expectations for oneself and others. Unlike those striving for success, perfectionists are self-critical and hard on themselves when they fail to meet their impossibly high standards, as nothing is enough unless it is perfect. 

In contrast, striving for success means doing your best and working hard, but not at the expense of your relationships or personal health and well-being. 

There are three types of perfectionism:

  1. Self-oriented perfectionism: Setting high standards for yourself and feeling intense pressure to meet those expectations.

  2. Other-oriented perfectionism: Expecting perfection from others and being critical of them for not achieving those standards.

  3. Socially-prescribed perfectionism: The belief that others hold you to unrealistic expectations and will criticize you for not meeting them.

While striving for excellence helps people attain their goals, perfectionism can lead to adverse health outcomes, making perfectionism therapy worksheets helpful resources. 


Research has linked perfectionism to a range of health outcomes, including:

  • Rumination about not meeting standards or their flaws

  • Anxiety and depression

  • Social phobias

  • Self-harm

  • Insomnia

  • Obsessive-compulsive disorder

  • Eating disorders

  • Psychological distress

  • Suicidal thoughts

  • Feeling shame and guilt

  • Fear of failure

  • Stress, burnout, and emotional exhaustion

  • Low self-esteem

Studies also show that self-oriented perfectionism is on the rise among college students by statistically significant amounts, and socially-oriented perfectionism increased at twice the rate of self- or other-oriented perfectionism. 

How to beat perfectionism 

Perfectionism worksheets offer several strategies to tackle perfectionism, including:

Cognitive behavioral therapy (CBT)

CBT can help to identify and challenge unrealistic or unhelpful beliefs and thoughts and reframe them with more balanced and flexible thinking. 

For example, a person might think, “If I don’t get a perfect score on this test, then I won't get into college, and I’ll be a failure.” CBT can help to reframe these thoughts to, “I am doing my best, it’s OK to make mistakes, and I can learn from my imperfections.”

Practice self-compassion 

Perfectionism arises from a fear of failure, not meeting high expectations, and cognitive distortions about the potential impact of these failures. By practicing self-compassion, individuals can treat themselves with kindness and reassurance that they are doing their best.

Set more realistic goals

Using a goal framework, like the SMART goal structure, can help create more realistic and achievable goals that are good enough rather than unattainable.

Reframe failure 

Instead of using failure as an opportunity for self-criticism, it can provide a chance to reflect on lessons learned, such as setting unrealistic expectations and highlight other ways to address the root of perfectionism, which is often rooted in low self-esteem.


How to use the perfectionism therapy worksheets

You can download and use the perfectionism worksheets in several ways:

  • Use the “What is perfectionism?” explanation in the worksheet to provide psychoeducation to clients.

  • Complete the perfectionism therapy worksheet collaboratively during the session and provide the client with a copy to take home.

  • Ask the client to reflect on the overcoming perfectionism worksheet and answer the reflection questions between sessions, reporting their findings at their next therapy appointment. 

  • Use the worksheet in group therapy sessions to encourage clients to brainstorm strategies for how to get rid of perfectionism.

  • Combine this worksheet with other self-improvement resources, such as our positive traits worksheet, self-esteem completion worksheet, and positive experiences worksheet.

  • Share the worksheet with coworkers.

  • Use the perfectionism worksheet to provide training to interns or supervisees.

Sources

How SimplePractice streamlines running your practice

SimplePractice is HIPAA-compliant practice management software with everything you need to run your practice built into the platform—from booking and scheduling to insurance and client billing.

If you’ve been considering switching to an EHR system, SimplePractice empowers you to run a fully paperless practice—so you get more time for the things that matter most to you.

Try SimplePractice free for 30 days. No credit card required.


simplepractice logo

Sign up for updates

By entering your email address, you are opting-in to receive emails from SimplePractice on its various products, solutions, and/or offerings. Unsubscribe anytime.

Apple StoreGoogle Play
hipaa logohitrust logopci compliant logo

Proudly made in Santa Monica, CA © 2026 SimplePractice, LLC