I’m writing a book. There, I’ve said it. So almost five years into the process, I guess it’s actually going to happen. If my book coach is still speaking to me.

The first sign of trouble came early on when she gave me a button to wear that says “Ask me about my book!” Since then, I contact her about once a year with a plea to not give up on me, and a promise that a rough draft is “almost ready.”

Then something changed. Realizing that my book-writing phobia was severe enough to require intensive one-on-one therapy, I hired a book “therapist.”

Dr. Jan Anderson

We quickly bonded, and every few weeks, I booked a session with her to work through a chunk of material. I understand the creative process well enough to anticipate periods of absolute clarity and an exhilarating high of productivity, followed by bouts of profound confusion and stuckness.

Although the project kept moving along, it felt like an ever-expanding morass. Kind of like hearing your airline captain say, “We have no idea where we’re going… but we’re making excellent time.”

Our first breakthrough came about three months into the process. “I’ve noticed some perfectionist tendencies…” my book therapist diplomatically began, followed by a couple of helpful “suggestions.”

That’s when I realized she was a book therapist. She started with what every good therapist begins — an accurate diagnosis. Then she began walking the fine line between compassion and confrontation to elicit behavior change.

Technically, the process started with the formation of the “therapeutic alliance.” All that means is that I sensed two things: 1) she “gets” me, and 2) I can trust her. Both emotionally and professionally.

After all, writing a book gets plenty personal. And the research findings on what makes counseling successful are very clear: The strength of the client-counselor relationship is the biggest predictor of whether therapy will be effective and produce actionable change.

Jan Anderson

My book therapist has another skill: The ability to be a) non-judgmental and b) confrontational at the same time. It’s one of the things that often distinguishes a therapist’s help from that of a friend, relative, or co-worker.

It means we are more committed to our client’s progress and to do what’s in their best interest, more than keeping the relationship going and not rocking the boat. Whether you operate in an entrepreneurial mode like me or you’re working for someone else, learning to hold the tension of those two opposites — holding a relationship with great care, yet with an open hand — is something that comes with the territory.

Sometimes it takes you right to the edge. Like when I found myself being more confrontational than usual with a client who was herself a therapist. (Yes, therapists have therapists.) During a particularly troublesome period in her career, I was concerned she was going to get herself fired and that she didn’t see it coming. As she was leaving my office that day, I was relieved to hear her hand-on-the-door-knob comment, “I know you’re on my side.”

Thank goodness, there’s also simplicity and straightforwardness to the therapeutic process, elegantly outlined by Brett Steenbarger, Ph.D. In The Art and Science of Brief Psychotherapies, he and his colleagues at SUNY identified three essential ingredients that create the conditions “allowing profound changes to occur, often within a matter of months.”

Relationship Therapy

1. Active engagement: 
The use of a supportive relationship to encourage and sustain focused change efforts and promote an environment of hope and optimism.

2. Discrepancy:  
The ability of therapy to provide powerful emotional experiences that disrupt old patterns of thought, feeling, and behavior and promote the exploration of new patterns.

3. Consolidation:  
The ongoing reinforcement and rehearsal of the new patterns so that these become internalized as fresh parts of the self.

Fortunately for my book therapist, I’m not in complete denial about my condition. Unlike the first time I remember being accused of being a perfectionist. Incredulous, I responded as only a true perfectionist would, “You have got to be kidding! You have no idea how much I let slide!” End of discussion.

It could be worse.  Once when scheduling an appointment, I mentioned I’d be out of town for some continuing education. I was shocked when my client said that in her culture, a professional like me would never admit to needing additional training. “You’re supposed to already know it all,” she said sympathetically.

I guess my take on keeping an edge is radically different:

1. If you buy into the value of counseling so much that you enter the profession, why would you not use it yourself when the need arises?

2.  Instead of diminishing you, won’t your personal experience make you better professionally?  Not just in terms of increased expertise, but also increased empathy?


Here are some of my favorite face-saving ways even perfectionistic professionals can ask for help:

1. Find an excuse.
According to relationship and marriage expert, Dr. John Gottman, unhappy couples wait an average of six years before getting help. Unfortunately, it’s often too late by then. That was the case with my seven-year “starter marriage,” which began during college and continued a few years beyond.

Our one-and-done marriage therapy session promptly segued into a solution all three of us agreed on — divorce. I now had an excuse to justify beginning therapy, in the form of a divorce recovery group. Fortunately, the group was led by an excellent therapist, who made it easy to slide me into individual therapy, too.

Given my rather dramatic family history, it’s not like I didn’t know all along I could use some help. I just needed a pathway to begin the journey. Saying, “I’m going through a divorce, so I’m in a divorce counseling group,” was very difficult, but ultimately doable. More doable than saying, “I’m desperately unhappy in my doomed marriage, so we’re in marriage counseling.”

2. Call it something else. 
When I worked in HR for a Fortune 500 company, I was in a high-rise full of perfectionists and superstars. Any counseling I did with executives and professionals was called professional development. Counseling with groups was referred to as organizational development. I did my master’s practicum in counseling psychology at an executive outplacement firm to practice career transition management.

I mentioned earlier that therapists have therapists. We have our own words, too: professional development, continuing education, case consultation, or supervision.

Call it by whatever name gets you to do it, whether it’s consulting, coaching, professional development, personal development, or “talking to someone.”

Yes, there are limits, and you do have to draw the line somewhere. Someone contacted me once about acting as a “spiritual guide.” To her, this seemed to roughly translate to “free counselor.”

Perfectionist Louisville

3. Blame it on someone else. 
This one is easy. “I’m going to counseling because my spouse/partner/kid/stepchild is having problems.”(No need to mention the “with me” part.)

Need to convince someone to join you in counseling? Try this interesting variation my supposedly less-psychologically-sophisticated husband used on me about six months before our wedding:

Him: “I think we need to do some pre-marital counseling.”

Me (as head jerks around): “What?”
Him (repeating): “I think we need to do pre-marital counseling.”
Me (after long pause): “Why?”
Him: “I think I need it.”

Me (relieved): “Oh… okay. Sure, we can do that.”Duh… We were both coming out of long-term marriages and dealing with serious parental alienation with our children.

Smart guy. Smart(er) me for picking someone like him this time around.

Here’s the ultimate irony: My book is solidly in the self-help genre, and the central message is… “Here’s how to get other people to help you.”
Dr. Jan Anderson