Perfectionism and Imposter Syndrome in Veterinary Medicine

By Dr Marie Holowaychuk, DVM

Veterinary professionals are known for their drive, dedication, and commitment to excellence. These traits help us deliver high-quality care to the animals and clients who rely on us. However, when fueled by perfectionism and imposter syndrome, they can also take a toll on our mental health. Understanding the difference between healthy striving and maladaptive perfectionism is essential for sustaining a career in veterinary medicine that feels both meaningful and manageable. 

What Perfectionism Really Is 

Perfectionism is a personality trait marked by extremely high standards and harsh self-criticism whenever those standards are not met. While parts of perfectionism, such as attention to detail and motivation, can be helpful, the maladaptive form pushes veterinary teams toward impossible ideals. Over time, this can lead to stress, anxiety, and depression. 

High Standards vs. Perfectionism in Veterinary Practice 

Healthy Striving

Healthy striving is a natural part of veterinary work. Most veterinarians, technicians, assistants, and managers take pride in their work and want to deliver excellent care. This type of motivation supports growth, achievement, and confidence. 

When Perfectionism Becomes Harmful 

Maladaptive perfectionism is different. It shows up as rigid expectations and the belief that even minor errors are unacceptable. A veterinarian might view a single overlooked detail as proof they are unqualified, or a technician might interpret a small mistake as evidence they should not be in the profession. This fear-based thinking turns normal, human moments into threats, and over time it erodes wellbeing. 

Where Perfectionism Comes From

Many perfectionists recall being rewarded for flawless performance while growing up, or even punished for small mistakes. Others were raised around high achievers or caregivers who modelled perfectionistic tendencies. Eventually, the core belief forms: 
“If I am not perfect, I am not enough.” The culture of veterinary medicine, where outcomes matter and mistakes can have serious consequences, also reinforces this belief. 

Types of Perfectionism in Veterinary Medicine

1. Self-Oriented Perfectionism 

These individuals set intensely high standards for themselves and tie their self-worth to achieving them. They are often very self-critical and struggle to accept mistakes. This type is strongly connected with imposter syndrome, the ongoing fear of being exposed as not competent enough. 

2. Other-Oriented Perfectionism 

These individuals expect perfection from others, such as colleagues, partners, or children. Delegation becomes difficult, and frustration grows when others do not meet their expectations. This can create tension within teams and in personal relationships. 

3. Socially Prescribed Perfectionism

This type is common in veterinary medicine. These individuals believe others, namely clients and the general public, expect them to be perfect and that they will never measure up. This pressure can lead to anger, anxiety, or depression, especially when they feel judged or scrutinized. 

Why Veterinary Medicine Is So Prone to Perfectionism 

Veterinary professionals often hold perfectionistic standards in clinical care. Examples include spending excessive time considering differentials or creating treatment plans, rewriting medical records, checking and rechecking small details, or viewing minor oversights as catastrophic failures. 

Interestingly, these same individuals may have a messy desk, forget about laundry, or overlook tasks outside their main focus. Perfectionism is rarely global. It usually appears in areas tied to identity and competence. 

The Consequences of Maladaptive Perfectionism 

Perfectionism reaches far beyond job performance. It can influence: 

• work satisfaction 
   

• team dynamics 
   

• interpersonal relationships 
   

• mental health 
   

• enjoyment of non-work life 

A technician who strives for flawless treatments may arrive early, stay late, and skip breaks. This can lead to stress, tension, and mental health challenges within the team. A veterinarian who holds extremely high expectations for others may unintentionally demoralize colleagues or contribute to turnover. 

On a personal level, perfectionists struggle to enjoy rest or leisure because they believe they must do everything “right.” Over time, perfectionism increases the risk of anxiety, depression, obsessive tendencies, and burnout. 

Perfectionism, Moral Distress, and Compassion Fatigue 

In veterinary medicine, perfectionism can heighten vulnerability to moral distress. Research shows that perfectionistic veterinarians experience greater psychological strain when unable to provide the level of care they believe is best, such as when clients decline treatment. Because moral distress is linked to compassion fatigue, perfectionism can add an additional layer of strain that leaves veterinary professionals feeling depleted. 

Imposter Syndrome: The Hidden Companion

Many self-oriented perfectionists experience a persistent belief that they are inadequate or underqualified, despite clear evidence of success. 

Common signs include: 

• attributing success to luck 
   

• feeling others overestimate your abilities 
   

• working excessively to prove competence 
   

• fear of being exposed as a “fraud” 

For high-achieving veterinary professionals, these thoughts can feel constant. 

How to Overcome Perfectionism and Imposter Syndrome

Small and intentional steps can help shift away from unrealistic expectations and toward healthier striving. 

1. Recognize Perfectionistic Patterns 

Notice thoughts such as: 

• “Anything less than perfect is failure.” 
   

• “If I make a mistake, others will think I am incompetent.” 
   

• “I should never disappoint a client.” 

Look for behaviours like procrastination, excessive checking, difficulty finishing tasks, or avoiding new situations due to fear of mistakes. Awareness is the first step toward change. 

2. Set Realistic Standards 

• Is this expectation achievable? 
   

• Is it necessary? 
   

• Is the cost of meeting it worth the impact on my wellbeing? 

Adjusting standards does not mean lowering the quality of care. It means avoiding extremes. Consider easing strict rules around record writing or surgical outcomes so you can deliver quality without sacrificing balance. Limit comparisons with others and focus on those who are open about their challenges, not those who seem flawless from the outside. 

3. Shift Your Thinking 

Perfectionists often default to harsh self-criticism. Try replacing these thoughts with realistic ones: 

• “Everyone makes mistakes.” 
   

• “All I can do is my best.” 
   

• “Nobody is perfect.” 
   

• “This will not matter as much tomorrow as it does today.” 

Consider how you would speak to a close friend who made the same mistake. Offer yourself the same compassion. 

4. Change Perfectionistic Behaviours 

Small, intentional changes help disrupt perfectionistic cycles. Examples include sending an email without triple-checking, delegating a task, leaving part of your workspace messy, or wearing scrubs with a small stain. These actions help teach your brain that imperfection is safe. 

5. Use Mindfulness and Self-Compassion 

Mindfulness helps you observe perfectionistic thoughts without getting caught up in them. Self-compassion helps you respond with patience instead of judgment. Together, these approaches ease internal pressure and reduce imposter feelings. 

6. Overcome Procrastination 

Break tasks into smaller steps. Use time-based goals instead of perfection-based ones. Prioritize what truly matters. Progress is far more important than flawless execution. 

A More Sustainable Way to Practice 

Perfectionism and imposter syndrome are common in veterinary medicine, but they do not have to define your experience. With awareness, realistic expectations, healthier thinking, and intentional behaviour changes, you can cultivate a more balanced and compassionate relationship with yourself and your work.

Dr. Marie Holowaychuk is a veterinarian, wellness advocate, coach, and speaker. She is the author of A Compassionate Calling: What It Really Means to Be a Veterinarian and helps veterinary professionals improve their wellbeing through evidence-based education, practical tools, and self-care strategies. Learn more at RevivingVetMed.com.