You can envision your T saying to herself She has the tools but she can't/won't use them--and silently judging you for it. You can envision her seeing you as lacking competence.

As a perfectionist, competence feels like the cornerstone of your life. But now you see yourself managing neither work nor yourself with competence. When (if ever) have you felt simultaneously lacking competence in work/school and also in managing your own life/feelings?