Skip to content

For families

Perfectionism in children and young people

Perfectionism, and the child whose worth feels conditional.

In the children we see, perfectionism is rarely about wanting to do well. It is about a child who has come to feel that the affection and pride around them depend on continuing to perform, often a child who was praised generously, for years, for being clever and capable. The cost tends to arrive later. No one sets out to teach this, and it can grow in the most loving homes.

What it can look like

Before it has a name

Perfectionism is rarely the first word a child or parent uses. These are the ways it usually arrives with us.

Anxiety beneath competence

The bright child who seems fine at school and is coming apart at home. What they feel inside no longer matches what others see, and they have learned not to say.

Praise as something to manage

The child who no longer enjoys being told they did well, because the bar has already moved. Tears after a mock that went well by every outside measure.

All or nothing

Either everything is fine or everything is ruined, with no middle ground. The child has not yet learned to tolerate being ordinary at anything.

Procrastination that looks like laziness

Often it is perfectionism in a different coat: if you never start, you cannot fail. Worth noticing in a teenager whose effort has visibly dropped.

Calm outside, flat inside

The teenager who keeps functioning and producing, but no longer enjoys anything. This is the harder version to spot, because on paper nothing is wrong.

How we can help

Working on it together

Perfectionism rarely shifts through therapy alone if everything around a child still rewards only achievement. That is why the work with parents matters so much here.

For your child

Therapy, in school or online

One-to-one sessions for your child, usually in school during the school day, or online for older young people, at a pace that lets them be imperfect in the room.

How therapy works

For you

A parent consultation

Perfectionism is often relational, so parent consultations are especially useful here. Your own relationship with achievement can be part of the work, and thinking about it can help a great deal.

Parent consultations

To read

The perfectionism shelf in The Parent Book

A chapter by our therapists for parents whose child cannot bear to get anything wrong, with things to do together, sheets to print, and the books and films we recommend. Part of it is free to read and to print, including what to do first and the first chapter you open; the rest comes with a subscription.

Open the shelf

When to get in touch

When to talk to us sooner

Perfectionism is rarely an emergency, but it helps to attend to it early, before it hardens into habit.

  • Your child has stopped enjoying things they used to love, around the time their standards rose.
  • Tears after small setbacks, or after successes that did not feel big enough.
  • Sleep, eating or the way they talk about themselves has changed alongside academic pressure.
  • Your child has begun to fear disappointing you, and you can feel it.
  • You would value thinking through your own relationship with achievement.

Where there are physical symptoms, changes in eating or weight, or low mood that does not lift, please talk to your GP as well.

If you are unsure, a short email is the simplest place to start. Every enquiry is read personally, and we aim to reply within one working day.

If this is urgent

Kensington Square Therapy is not a crisis service. If you or your child is in immediate danger, call 999.

Show helplinesHide helplines

If you need help right now

  1. If you or your child is in immediate danger

    999Call 999

    Go to your nearest A&E24/7

  2. If either you or your child is in a mental health crisis

    NHS 111England, Scotland and Wales: call 111 and choose the mental-health option. Northern Ireland: call Lifeline on 0808 808 8000

    24/7

    Routes to your local NHS mental health crisis line. Northern Ireland has no 111 mental-health route; Lifeline is the crisis line there.

  3. If your child is under 19 and needs to talk to someone themselves

    Childline0800 1111

    24/7

    childline.org.uk

  4. If you are worried that a child is being harmed or is at risk

    NSPCC Helpline0808 800 5000

    help@nspcc.org.ukMon-Fri 10am-4pm by phone; email 11am-4pm, seven days a week. An email sent when the service is closed is not received.

    If the NSPCC service is closed and the concern cannot wait, call the police on 101. You can also contact the child’s local out-of-hours children’s social care, social work or social services team. If a child is in immediate danger, call 999.

    nspcc.org.uk

  5. If you would prefer to text rather than speak

    ShoutText SHOUT to 85258

    24/7

    giveusashout.org

  6. If you or someone you are worried about needs someone to talk to

    Samaritans116 123

    24/7

    samaritans.org

Begin

Not sure where to start?

Tell us a little about your child. We will listen first, then suggest what might fit, including whether we are the right people to help.