As the quest for perfection fails over and over, and as parental acceptance and nurturing remain elusive, imperfection becomes synonymous with shame and fear. Perceived imperfection triggers fear of abandonment, which triggers self-hate for imperfection, which expands abandonment into self-abandonment. This in turn amps fear up even further, which in turn intensifies self-disgust, etc. On and on it goes in a downward spiral of fear and shame-encrusted depression. It can go on for hours, days, weeks, and for those with severe Cptsd, can become their standard mode of being.