Pressure to Portray a Perfect Image
Myths and Realities of Perfectionism
- Functions of perfectionism: gain approval, feel in control, compensate for shame
- Key differences between adaptive versus maladaptive perfectionism
- Relationships between perfectionism, disordered eating, and body image
- Disordered eating behaviors typically used by perfectionists
- The role of diet culture in reinforcing perfectionism
- The changing nature of beauty standards
- Social anxiety and appearance-related isolation
- How to help clients see the costs of perfectionism
Assessment and Case Conceptualization
Overcontrolled or Out of Control?
- Top signs that your client might be struggling with perfectionism
- How to explore the impact of perfectionism on functioning
- Key assessment tools for perfectionism
- How to take a body image assessment
- Eating disorders screenings
- How to talk with clients about food-related behaviors
- Case conceptualization for clients with perfectionism-related body dissatisfaction
- How to determine when a higher level of care or specialist is necessary
- Case study
DBT, CBT, ACT and Other Interventions
Clinical Tools to Shift Beliefs and Behaviors
- Uncover internalized and externalized perfectionistic expectations
- DBT middle path and decision-making skills for clients who polarize
- Cognitive restructuring for self-worth and selfesteem beliefs
- How to help clients tolerate fears of disappointment
- Strategies to reduce common body imagerelated avoidance
- CBT practices to promote flexible thinking
- Inference-based interventions for reality challenging
- How to decrease anxious reasoning and comparison-making
- ACT interventions to identify values related to food, weight, and body
- Self-compassion practices to decrease perfectionistic self-criticism
- Distress tolerance skills for body image triggers
- Inhibitory learning strategies to promote impulse control
- Mental flexibility practice for fear foods
- Exposure and response prevention techniques for lowering food fears
- Inference-based techniques to decrease food obsessions
- Construct a perfectionism exposure hierarchy
- Intuitive eating to improve relationship with food and body
- Case study
Clinical Considerations
Provide the Best Care for Clients with Perfectionism
- Troubleshoot top barriers to treatment
- Tools for working with clients who have limited insight into their symptoms
- How to integrate treatment interventions from multiple modalities
- Top relapse prevention strategies
- How to do this work when you’re not an eating disorders specialist
- Involve healthcare providers and dieticians
- When and when not to recommend support groups
- Strategies to bolster clients’ social support systems
- Impact of the therapist’s own perfectionism and body/food relationship
- Cultural considerations
- Limitations of the research and potential risks


