Perfectionism: I have it & my 30 year-old-daughter who suffers from periodic bouts of depression does, too. I take meds for bp which help a lot, but I still tend to avoid life because I can't be perfect at what I set out to do. For exp., in college I had a 4.0 & in my jr. year found out I was getting a B in a course so I dropped out! I could not stand to get a B. I've never returned. On the other hand, my daughter excels at everything (valedictorian of h.s. & law school, plum job as a lawyer,etc,), but she feels like an imposter as if the world will someday really find out she's not as good as she appears to be. Every test she's taken, she's thought she flunked only to find out she got the highest score. Nothing seems to help her confidence. She is always stressed out, as you can imagine. I'm afraid all this stress will shorten her life. She needs constant feedback that she is ok, but then as soon as she gets it she needs more--like a drug addict always needing another fix.