He has many patients who are still in their jobs, but worry terribly when they experience a setback such as a bad performance review or a lower bonus. “The men particularly tend to have their self-worth bound up with money and a sense of having to be powerful. Very often their parents have put into them the idea that they have to be the best. So they become perfectionists. It’s probably got them the early promotion, but as they get older, it becomes more and more untenable.