
The Psychology of Depression and Anxiety - Dr. Scott Eilers The Disturbing Links Between High Functioning Depression and Maladaptive Striving
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May 4, 2026 They explore how relentless achievement and perfectionism can coexist with serious depression. The conversation highlights why hitting goals often fails to bring relief and fuels a shift to ever-higher standards. Topics include the cycle of devaluing accomplishments, how self-criticism harms relationships, and practical shifts like process goals, leisure, and realistic standards to break the pattern.
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Maladaptive Striving Is Chasing A Fix Through Achievement
- Maladaptive striving is chasing a specific achievement as the cure for depression and repeatedly stacking new goals when each fails to deliver.
- Dr. Scott Eilers: it combines perfectionism, workaholism, and the belief that one win will fix chronic depression.
Perfectionist Standards Turn Achievement Into No Reward
- Excessively high standards make meeting them feel like the ceiling, preventing reward or joy.
- Dr. Scott Eilers: your expectations become the only possible top outcome so meeting them never produces true enjoyment.
Waiting For The Next Victory Destroys Present Joy And Relationships
- Constantly deferring happiness to the next achievement devalues present life and causes interpersonal irritability.
- Dr. Scott Eilers: internal self-criticism reads like external abuse and makes you short-tempered, harming relationships and fueling depression.



