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  • Clinical Specialties
    • Who I work with
    • What I Treat
    • Anxiety
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    • Self-esteem|Perfectionism
    • Transitions
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  • More
    • Home
    • Approach
    • Meet the Therapist
    • Clinical Specialties
      • Who I work with
      • What I Treat
      • Anxiety
      • Depression
      • Trauma
      • Relationships
      • School Refusal
      • Self-esteem|Perfectionism
      • Transitions
      • Grief|Loss
    • FAQs

(908)605-6036

(908)605-6036

  • Home
  • Approach
  • Meet the Therapist
  • Clinical Specialties
    • Who I work with
    • What I Treat
    • Anxiety
    • Depression
    • Trauma
    • Relationships
    • School Refusal
    • Self-esteem|Perfectionism
    • Transitions
    • Grief|Loss
  • FAQs

SELF-ESTEEM | PERFECTIONISM

When your worth feels tied to achievement or the approval of others, every expectation can start to feel like a test — and the pressure to get it “just right” can be overwhelming. The drive to overachieve, please everyone, or delay action until things feel perfect often comes from a fear of failure and the weight of unrealistic expectations. These patterns can help you feel safe, seen, or in control — but over time, they leave you exhausted and disconnected from yourself.


Together, we’ll uncover the core beliefs that shaped your self-view, quiet the inner critic, and learn to meet yourself with understanding — not perfection.
As you begin to recognize where the inner critic came from and challenge its old stories, you’ll start to feel more grounded, learn to give yourself grace, and embrace the gift of imperfection — reconnecting with your authentic self and truly believing that you are enough.

Understanding Perfectionism through a CBT Lens

CBT views self-esteem and perfectionism as patterns shaped by how we think, feel, and behave. These patterns are often learned early in life and become reinforced over time.

In therapy, we explore how:


  • Core beliefs such as “I’m not good enough” or “I need to be perfect to be accepted” influence thoughts, emotions, and behaviors.
  • Automatic thoughts — the self-critical messages that play on repeat — reinforce low self-worth and constant pressure to achieve.
  • The fear of failure leads to procrastination, overworking, or avoiding challenges altogether.
  • Perfectionism becomes a coping strategy to gain control or approval but often fuels anxiety and burnout.


By identifying and reframing distorted thinking, you can build realistic expectations, self-compassion, and a more balanced view of yourself. The goal is to create a healthier inner dialogue — one that supports growth without judgment.

A Holistic Approach to Self-esteem

From a holistic perspective, self-esteem and perfectionism are not just mental patterns — they’re lived experiences that affect the body, emotions, and spirit.
This approach recognizes that healing happens when we reconnect with all parts of ourselves.


Together, we’ll explore how:


  • Chronic tension, shallow breathing, or exhaustion often reflect the body’s response to self-pressure and striving.
  • The nervous system stays in “fight, flight, or freeze” when you’re constantly chasing impossible standards.
  • Practices like grounding, mindfulness, and breathwork help regulate your body and quiet the inner critic.
  • People-pleasing and overachievement can disconnect you from your authentic needs and desires.
  • Somatic awareness, journaling, and gentle movement help you listen to your body’s cues rather than push past them.
     

Healing means reconnecting with your true self — the part of you that already feels whole, worthy, and enough.

Contact Melissa

The Inner Critic

The inner critic is that internal voice that judges, doubts, or shames us — the one that says things like “You should’ve done better,” or “You’re not good enough.” It’s an internalized belief system that polices our thoughts, actions, and sense of worth. Though it can sound harsh, the inner critic’s original purpose wasn’t to hurt you — it developed to protect you.


The inner critic is often formed in childhood, shaped by early experiences with caregivers, teachers, peers, or cultural expectations.


  • When we were praised for achievements but not for effort, our inner voice learned: “I have to be perfect to be loved.”
  • When we were corrected harshly or shamed for mistakes, it learned: “I need to be careful and never mess up again.”
  • When love or attention felt conditional, it internalized those conditions as rules for self-worth.
     

Over time, these messages became core beliefs — the unconscious “scripts” that guide how we see ourselves. The inner critic is essentially those old protective scripts still running, even when they no longer serve us.

Contact me

Contact me

Better yet, see us in person!

Reach out to schedule your free 15-minute consultation.

Holistic CBT Therapy

Melissa@holisticcbt.com (908)605-6036 Ridgewood, NJ

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