I'm probably not telling you anything you don't already know, but you have to get your breathing under contol. That will help keep the anxiety down. Can''t say much about fixing perfectionism, since I have a touch of that myself.
I would suggest breathing exercises in between tapings and some stretchs to relieve the tension somewhat. Hope it helps a little.
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Bipolar I, Depression, GAD Meds: Zoloft, Zyprexa, Ritalin
"Each morning we are born again. What we do today is what matters most." -Buddha