The New Dimensions Café · New Dimensions Foundation

Overcoming the Negative Effects of Perfectionism - Tara Cousineau, Ph.D. - C0643

September 24, 2025·18 min·1 clip

Dr. Tara Cousineau reveals why perfectionism is a recipe for burnout and depression, not a strength.

Host Justine Willis-Thoms welcomes Dr. Tara Cousineau to the New Dimensions Café. Cousineau begins by stating that perfectionism is on the rise over the last 30 years, driven by social and cultural pressures. She describes it as a 'recipe for burnout, depression, and inner critical voices.' The conversation explores how perfectionism manifests physically through symptoms like increased cortisol, inflammation, IBS, and migraines, and mentally through anxiety, depression, and eating disorders. Cousineau categorizes perfectionism into three types: self-oriented (setting high personal standards), other-oriented (expecting perfection from others), and socially prescribed (comparing oneself to societal standards). She notes that socially prescribed perfectionism has increased alongside smartphone and social media use, correlating with greater mental health distress. A composite story is shared about a neuroscientist named Lewis whose other-oriented perfectionism alienated coworkers and led to emergency room visits for suspected health crises. Cousineau recounts her own experience with nerve pain and an ER visit due to stress. She emphasizes the importance of self-awareness, suggesting that the body often signals problems before the mind acknowledges them. To address perfectionism, she introduces a framework: notice inner narratives, name them (e.g., 'inner bully,' 'joy thief'), and nurture them with self-compassion. Cousineau references the movie 'The Help' to illustrate the power of affirmations and encourages creating personalized kindness statements. She advises practicing daily reflections on joyful moments and surrounding oneself with supportive people. The episode ends with resources for further learning.

As heard by us

A clear-eyed take on perfectionism that pairs pressure with a humane way through it.

Dr. Tara Cousineau frames perfectionism as a wider social pressure, shaped by social narratives, smartphones, and social media, rather than as a private habit.

Read the full review in PlayNext →

Why you'd press play

You want relief from the voice that says better is never enough.

Read the full recommendation in PlayNext →

Listen to the show on

Apple Podcasts Spotify

Play clips from this episode More from The New Dimensions Café