The problem is not in having high standards or in working hard. Perfectionism becomes a problem when it causes emotional wear and tear or when it keeps you from succeeding or from being happy. The emotional consequences of perfectionism include fear of making mistakes, stress from the pressure to perform, and self-consciousness from feeling both self-confidence and self-doubt. It can also include tension, frustration, disappointment, sadness, anger or fear of humiliation. These are common experiences for inwardly focused perfectionists.