I'm much the same way. Especially as with my job, my mistakes are visible to thousands of people, many of whom have no problem fussing me out and being truly nasty to me as a person. I really sympathize even as I agree that this kind of thinking is a bit over the top and perfectionistic. Everybody screws up. We should not be so hard on ourselves, I think maybe self esteem is part of it, too, on top of meds.