The Psychology of Depression and Anxiety - Dr. Scott Eilers

The Disturbing Links Between High Functioning Depression and Maladaptive Striving

12 snips
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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INSIGHT

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.
INSIGHT

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.
INSIGHT

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.
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