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Is Perfectionism a Symptom of ADHD? Exploring the Link

Emily Mendez
Written by:
Emily Mendez
Medical Writer
Dr. Michael Chichak
Medical Reviewer:
Dr. Michael Chichak
MD

Highlights

  • Some people diagnosed with ADHD may use perfectionism to cope with difficulties in concentrating and time management.
  • A fear of making mistakes and falling short of other people’s expectations may drive perfectionistic behaviors.
  • The pressure to always be perfect may lead to increased stress, burnout, and anxiety.
  • You can address perfectionism by challenging negative thoughts, setting realistic goals, and practicing self-compassion.

Although many people may not automatically link perfectionism with ADHD, it is a common trait among individuals diagnosed with this condition. While perfectionism may arise as a coping mechanism to make up for previous mistakes, it can quickly get out of hand and even contribute to anxiety and depression[1] . By developing healthy coping strategies and practicing self-compassion, you can better manage ADHD and break this harmful cycle.

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What Is Perfectionism?

A perfectionist is someone who has very high personal standards. ADHD is a mental health condition associated with difficulties with impulse control, inattention, and hyperactivity. With ADHD, perfectionism can manifest as a coping mechanism to compensate for challenges related to organization, focus, and completing tasks.

There are three types of perfectionism[2] :

  • Self-oriented. Setting unrealistically high personal standards for oneself.
  • Other-oriented. Holding other people to unrealistically high standards.
  • Socially prescribed. The belief that others expect oneself to always be perfect.

Many adults with ADHD[3] who experience perfectionism engage in negative self-talk whenever they fall short of unrealistic expectations. They may also impose extremely high standards on coworkers, family, and friends.

The Link Between ADHD and Perfectionism

Although maladaptive perfectionism isn’t an officially recognized symptom of ADHD[4] , it is a common trait among those diagnosed. Perfectionistic thoughts are extremely common[5] in ADHD, according to the latest research. 

Here are some of the challenges associated with ADHD that feed into perfectionism.

Deficits in Executive Functioning

Some challenges associated with ADHD[6] include deficits in executive functioning, organization, and planning. So, those with ADHD may become perfectionistic and overwork themselves to avoid negative consequences. In other situations, they may use their perfectionism to delay tasks or procrastinate until they can complete that task perfectly.

Hyperfocus

Many people diagnosed with ADHD[7] become hyper-focused and tune out everything around them. Hyperfocus often leads to excessive time spent on small details related to that task. This is likely related to a deficiency in the neurotransmitter dopamine, which makes it easier for those with ADHD to slip into a state of hyperfocus.

Low Self-Esteem

People with ADHD often have low self-esteem due to previous life experiences and negative social feedback. They also experience an increased fear of failure and criticism from others. They may learn to use perfectionism as a shield to protect themselves from future negative feedback or rejection.

"Hyperfocus can manifest in a number of ways. Oftentimes, refusing to give up on a topic cal lead to relational difficulties and conflicts. One of the other downstream effects of hyperfocus is that of perfectionism. To take it a step further, hyperfocus can lead to social stigmatization and rejection in different relationships, so, perfectionist tendencies resulting from the hyperfocus associated with ADHD can result in ADHD patients struggling with low self-esteem."
Dr. Michael Chichak
Medical provider at MEDvidi

Signs and Symptoms of Perfectionism in People With ADHD

Perfectionistic tendencies can manifest in a variety of ways for someone with ADHD. These can present as specific thought patterns and behaviors, such as:

  • Focusing on small details.
  • Spending an excessive amount of time on tasks.
  • Becoming easily stressed if things don’t go as planned.
  • Extreme anxiety or fear over the potential of making mistakes.
  • Continuously comparing yourself to other people.
  • Having an “all or nothing” mindset.
  • Hyperfixation on other people’s perceptions of you.

In addition to negative self-talk and criticism, a person experiencing ADHD perfectionism may struggle with constructive feedback. They may also have trouble accepting compliments and praise from others.

Frontostriatal dysfunction[8] may contribute to ADHD-related perfectionism. Frontostriatal dysfunction refers to problems in the brain networks (circuits) crucial for executive functioning and emotional regulation. This dysfunction can lead to difficulty working on a task or making decisions, and may also cause ADHD paralysis.

Some people who struggle with perfectionism and have not yet received a formal ADHD diagnosis may wonder if their high expectations and all-or-nothing thinking are indicative of this condition. While experiencing perfectionism does not necessarily mean you also have ADHD, it’s best to see a healthcare professional if you are struggling. You can start with online ADHD care at MEDvidi, where licensed professionals will help you clarify the cause of your symptoms and provide personalized, evidence-based support.

ADHD Test for Adults

18 questions
5 minutes

Do you think you have attention deficit hyperactivity disorder? Start with a free online test to see if you might need to consult with an ADHD expert.

Note that although this self-test is commonly used during a diagnostic process, it can’t substitute a full assessment by a healthcare professional.

Read the Instruction
Answer the Test Questions
Review the Results
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Instructions

This test includes 18 multiple-choice questions. Please choose the most suitable answers depending on how you have felt and behaved during the last six months.

You can take as much time as you need to fill out this questionnaire. The more accurate your answers are, the more precise the results will be.

Question 1 of 4
Your results
Note that the diagnostic process for ADHD is complex, and self-diagnosis is not possible. To go through a detailed assessment and learn whether you have ADHD, consult with a healthcare provider.
Do you want to discuss your results with an expert?
Consult a healthcare provider about managing ADHD symptoms and reducing their influence on your daily life.

The Benefits and Downsides of Perfectionism

Perfectionism is a personality style that focuses on improvement, often leading to higher-quality work and greater pride. Some studies[9] indicate a positive side to perfectionism and that it can be associated with greater well-being and life satisfaction.

However, there are several downsides, too. Research[10] suggests that some perfectionists experience low self-esteem, increased stress, anxiety, and even higher rates of suicidal ideation[11] . Unrealistically high expectations and a fear of making any mistakes also lead to a higher risk of burnout.

If you’re experiencing suicidal or self-harming thoughts and require immediate assistance, contact a crisis hotline, such as 911, 988 suicide & crisis lifeline (toll-free), or Samaritans (116-123 or via chat).

Strategies for Overcoming Perfectionism

You can use several strategies to manage high expectations, decrease self-criticism, and change your negative thought patterns and behaviors.

Cognitive Strategies

Challenge your negative thoughts. Whenever you experience negative feelings or thoughts, try to decide what the most realistic outcome is for your situation. Other cognitive strategies include:

  • Revisiting and redefining your expectations. Be realistic with your expectations. If they are too high, consider changing your mindset.
  • Embracing mistakes as learning opportunities. Instead of engaging in self-criticism, be gentle with yourself and try to learn from any mistakes.

In addition, be sure to celebrate the achievements of others. Just as you should work to practice self-compassion, it’s important to also acknowledge the efforts of other people.

Behavioral Strategies

The best way to manage larger tasks is to break them down into smaller parts. If your tasks are too overwhelming, consider spreading your work out over a longer period of time to reduce stress. Other behavioral strategies you can try include:

  • Find doable tasks. Avoid fixating on how overwhelming a project is for your imperfect working conditions, and instead, focus on what you can do at the moment.
  • Keep a realistic schedule. Like managing your expectations, ensure that your schedule is realistic to avoid burnout.

As you create a more realistic routine, make sure to appreciate the positive attributes of others as well. Recognizing these qualities in other people will help you become better at recognizing them in yourself.

Building Emotional Resilience

Our thoughts influence our actions, which turn into habits. Reframing your mindset and building emotional resilience can help you create healthier habits to overcome ADHD perfectionism.

  • Practice self-affirmations. Remind yourself that you are good enough and that your worth is not defined by what you can and cannot do.
  • Practice self-acceptance. Try to accept your strengths and limitations for what they are at the moment.
  • Use calming tools. Examples of these include gentle stretching and deep belly breathing.
  • Try journaling. ADHD brains tend to become easily flooded with emotions. Journaling can help you build emotional resilience by getting your emotions out on paper. This can help you better identify them.

People who struggle with perfectionism often find it difficult to accept constructive feedback. By understanding that there’s always room for improvement and not being overly critical of yourself, you’ll learn how to deal with whatever setbacks come your way.

Executive Function Supports

By using tools and systems to address your ADHD symptoms, you can start to reduce your perfectionist mindset.

  • Organization and prioritization. Use apps to help you manage your to-do lists throughout the day.
  • Focus. Stay focused by scheduling short breaks in between completing tasks.
  • Memory. Set alarms and create reminders on your desktop calendar to keep track of deadlines and important events.
  • Time management. Try to plan your schedule around the time of day you are most productive, whether it’s early in the morning, late afternoon, or sometime in between.

Another way to maintain motivation is by celebrating your success with small rewards whenever you meet your goals. By doing so, you’ll begin to accept yourself for who you are while reducing your need for perfectionism.

Seeking Professional Help

Perfectionism is not necessarily “good” or “bad” when dealt with on its own. However, if it is affecting your quality of life, consider seeking out professional support. A professional therapist, for example, can help you identify practical strategies to overcome perfectionism. ADHD support groups can also help connect you with others who are experiencing similar struggles.

By challenging negative thoughts, building emotional resilience, and focusing on self-acceptance, you can learn how to manage your ADHD-related perfectionism. If you think you need professional help, our medical team is here to help; sign up to book your appointment.

FAQs About ADHD and Perfectionism

Although it’s not a formally recognized symptom, perfectionism in ADHD is common. Many adults use perfectionism as a way to cope with their high expectations and avoid making mistakes.

Obsessive-compulsive disorder[12] is characterized by intrusive thoughts — obsessions — and the strong compulsion to perform repetitive behaviors to alleviate anxiety. ADHD perfectionism is characterized by high expectations of oneself to avoid disappointing others or experiencing a sense of failure.

While perfectionism and ADHD can overlap, they are distinct phenomena. Just because you experience perfectionism doesn’t necessarily mean you have ADHD; a full mental health assessment by an experienced healthcare provider is needed to make a diagnosis.
Yes, while some adults with ADHD may struggle with details, others are very detail-oriented and become hyper-focused when working on a task.

ADHD is sometimes linked with antisocial behavior[13] . However, ADHD does not necessarily impact moral reasoning. Many adults with ADHD have a robust moral compass and possess a strong sense of right and wrong.

ADHD paralysis occurs when an individual experiences sensory overload and becomes overwhelmed by their emotions, the task at hand, or their environment. Perfectionism refers to a state of mind associated with high expectations and a fear of failure or disappointing others.

Sources

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13 sources
  1. Lunn J, Greene D, Callaghan T, Egan SJ. Associations between perfectionism and symptoms of anxiety, obsessive-compulsive disorder and depression in young people: a meta-analysis. Cogn Behav Ther. 2023 Sep;52(5):460-487. doi: 10.1080/16506073.2023.2211736. Epub 2023 May 17. Erratum in: Cogn Behav Ther. 2023 Sep;52(5):I. doi: 10.1080/16506073.2023.2216984. PMID: 37194469.
    Source link
  2. P Sederlund A, R Burns L, Rogers W. Multidimensional Models of Perfectionism and Procrastination: Seeking Determinants of Both. Int J Environ Res Public Health. 2020 Jul 15;17(14):5099. doi: 10.3390/ijerph17145099. PMID: 32679730; PMCID: PMC7400384.
    Source link
  3. Williams OC, Prasad S, McCrary A, Jordan E, Sachdeva V, Deva S, Kumar H, Mehta J, Neupane P, Gupta A. Adult attention deficit hyperactivity disorder: a comprehensive review. Ann Med Surg (Lond). 2023 Apr 12;85(5):1802-1810. doi: 10.1097/MS9.0000000000000631. PMID: 37228994; PMCID: PMC10205222.
    Source link
  4. Magnus W, Anilkumar AC, Shaban K. Attention Deficit Hyperactivity Disorder. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.
    Source link
  5. Serine AD, Rosenfield B, DiTomasso RA, Collins JM, Rostain AL, Ramsay JR. The Relationship Between Cognitive Distortions and Adult Attention-Deficit/Hyperactivity Disorder After Accounting for Comorbidities and Personality Traits. Cognitive Therapy and Research. 2020;44(5):967-976.
    Source link
  6. National Institute of Mental Health. Attention-deficit/hyperactivity disorder in adults: What you need to know. National Institute of Mental Health. Published 2021.
    Source link
  7. Ashinoff BK, Abu-Akel A. Hyperfocus: the forgotten frontier of attention. Psychol Res. 2021 Feb;85(1):1-19. doi: 10.1007/s00426-019-01245-8. Epub 2019 Sep 20. PMID: 31541305; PMCID: PMC7851038.
    Source link
  8. Norman LJ, Carlisi CO, Christakou A, Murphy CM, Chantiluke K, Giampietro V, Simmons A, Brammer M, Mataix-Cols D, Rubia K. Frontostriatal Dysfunction During Decision Making in Attention-Deficit/Hyperactivity Disorder and Obsessive-Compulsive Disorder. Biol Psychiatry Cogn Neurosci Neuroimaging. 2018 Aug;3(8):694-703. doi: 10.1016/j.bpsc.2018.03.009. Epub 2018 Mar 24. PMID: 29706587; PMCID: PMC6278892.
    Source link
  9. Kamushadze T, Martskvishvili K, Mestvirishvili M, Odilavadze M. Does Perfectionism Lead to Well-Being? The Role of Flow and Personality Traits. Eur J Psychol. 2021 May 31;17(2):43-57. doi: 10.5964/ejop.1987. PMID: 35136428; PMCID: PMC8768477.
    Source link
  10. Curran T, Hill AP. Perfectionism is increasing over time: A meta-analysis of birth cohort differences from 1989 to 2016. Psychol Bull. 2019 Apr;145(4):410-429. doi: 10.1037/bul0000138. Epub 2017 Dec 28. PMID: 29283599.
    Source link
  11. Ali Hosseinzadeh Oskouei, Sadegh M, Fatemeh Safarpour, et al. The impact of perfectionism on suicidal ideation among medical residents in Iran: the mediating role of psychological distress. BMC Psychiatry. 2024;24(1).
    Source link
  12. Brock H, Rizvi A, Hany M. Obsessive-Compulsive Disorder. [Updated 2024 Feb 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.
    Source link
  13. Thomason KE, Gudjonsson G, German E, Morris R, Young S. Sociomoral Reasoning in Adults with ADHD: A Pilot Study. AIMS Public Health. 2014 Aug 7;1(3):147-159. doi: 10.3934/publichealth.2014.3.147. PMID: 29546083; PMCID: PMC5689788.
    Source link
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Emily Mendez
Written by:
Emily Mendez
Medical Writer
Dr. Michael Chichak
Medical Reviewer:
Dr. Michael Chichak
MD
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