Impact of maladaptive perfectionism on mental health and the role of cognitive behavioral therapy: a narrative review

Authors

  • Karen Regina Rosso Schons Especializanda, Psiquiatria e Psicoterapia, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil https://orcid.org/0000-0002-9125-2128
  • Alexei Gil Preceptor, Serviço de Psiquiatria e Psicoterapia, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil https://orcid.org/0009-0008-8174-5720
  • Bruna Natalie Dacroce Fasolo Especializanda, Psiquiatria, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil https://orcid.org/0000-0002-3043-530X
  • Luiza Martins Barbosa Especializanda, Psiquiatria, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil https://orcid.org/0009-0005-1386-5067
  • Marina Pimentel Beber de Mattos Especializanda, Psiquiatria, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil https://orcid.org/0009-0007-8016-8573
  • Vinicius Ferreira Lacerda dos Santos Especializando, Psiquiatria, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil https://orcid.org/0009-0003-2686-1802

DOI:

https://doi.org/10.25118/2763-9037.2025.v15.1452

Keywords:

Psychiatry, Psychotherapy, cognitive behavioral therapy, psychological distress, mental health, perfectionism

Abstract

Perfectionism is a personality trait that can be strongly valued in many professional environments, such as the medical field. However, when maladaptive, is potentially harmful to the mental and physical health of individuals. In addition, it should be considered that, under a transdiagnostic approach to psychiatry, perfectionism can be a factor in psychiatric disorders such as obsessive-compulsive disorder, hoarding disorder and body dysmorphic disorder. In addition, clinical perfectionism correlates with social disconnection, rumination, low levels of self-confidence, depressive and anxious symptoms, as well as self-harm and suicidal ideation. Therefore, identifying maladaptive perfectionist behaviors in psychiatric patients can enable a more comprehensive approach to these patients, ultimately contributing to a reduction in their mental suffering. In this context, cognitive-behavioral psychotherapy has established itself as the main approach for the prevention, early intervention and transdiagnostic treatment of patients affected by maladaptive perfectionism.

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Author Biographies

Karen Regina Rosso Schons, Especializanda, Psiquiatria e Psicoterapia, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil

Alexei Gil, Preceptor, Serviço de Psiquiatria e Psicoterapia, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil

Bruna Natalie Dacroce Fasolo, Especializanda, Psiquiatria, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil

Luiza Martins Barbosa, Especializanda, Psiquiatria, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil

Marina Pimentel Beber de Mattos, Especializanda, Psiquiatria, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil

Vinicius Ferreira Lacerda dos Santos, Especializando, Psiquiatria, Fundação Universitária Mario Martins, FUMM, Porto Alegre, RS, Brasil

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Published

2025-06-05

How to Cite

1.
Schons KRR, Gil A, Fasolo BND, Barbosa LM, Mattos MPB de, Santos VFL dos. Impact of maladaptive perfectionism on mental health and the role of cognitive behavioral therapy: a narrative review. Debates em Psiquiatria [Internet]. 2025 Jun. 5 [cited 2025 Sep. 25];15:1-13. Available from: https://revistardp.org.br/revista/article/view/1452

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