Children's Hospital Colorado

Should You Worry About Your Child's Perfectionism? Here's What to Look For

A basketball player sits on a bench in the locker room holding a basketball and looking down while his teammates look happy.

In some arenas in life, perfectionism is valuable and borders on mandatory. For example, high-stakes situations like flying and surgery need to run as perfectly as possible to keep everyone safe. In that context, perfectionism, in itself, is of course not a bad thing. In fact, it is necessary and adaptive.

Perfectionism in children becomes a problem when it fuels anxiety and depression; it can make your child feel like they are never good enough, or they can't enjoy their accomplishments because they're worried about future failure. Any mistake affects them on a deeply personal level.

So when do you know if your child's perfectionism has gone from healthy ambition to unhealthy obsession?

When perfectionism becomes a problem

If your child is ambitious, works hard and strives for success, that is not necessarily a problem. It becomes one when they cannot stop striving for perfection. This might mean that a child who received an A is dissatisfied because it was not an A-plus; or it could be a child who won't celebrate a sports win because they didn't catch the ball every time.

Perfectionism is also common in children and adolescents who develop eating disorders like anorexia or bulimia nervosa. The perfectionist mindset combined with the drive to restrict food can cause life-threatening weight loss.

Keep an eye out for signs of unhealthy perfectionism: your child stops enjoying the things they usually like, they seem too stressed to handle the pressures on them or they limit or stop hanging out with friends.

What parents can do about a child yearning to be perfect

Kids can reverse unhealthy perfectionism with help from caregivers or from a professional if it's more serious. Unlike some psychological conditions, perfectionism doesn't usually stem from trauma or a life experience.

The number one thing to combat perfectionism in children is to talk about it. If you notice your child is more focused than usual on achieving success, ask them about it. You can say something like, "I've noticed you haven't been happy about your A, and I got the feeling you were stressed about not getting an A-plus. What is happening that is keeping you from enjoying your success?" or "I'd like to understand why it's important that you achieve ____." 

If you've created a culture of open communication in your family, then your kid can talk about how they feel and you can gain a better sense of a problem on the horizon. You can also lay the foundation for preventing trouble with frequent communication.

Parents can also be aware of how they model behavior. If you have reasonable expectations and have a positive attitude about mistakes, that shows your kid that it's okay not to be perfect.

When to seek help for a child's perfectionism

If you're worried about your child, talk to your health care provider. It never hurts to have a professional evaluate your child; early intervention can help.

Children can be genetically predisposed to perfectionism; if certain traits run in your family, like anxiety or depression, or if someone in your family has ever had an eating disorder, it's especially important to pay attention to signs and have your child evaluated by a pediatrician if you think there could be problem.

You know your child best. If you're sensitive to any changes with your child, such as changes in mood, behaviors or eating patterns, then you should follow-up on that.

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