For me it was a symptom that became part of the underlying problem and created other underlying problems. I gotten enormous satisfaction honestly peeling back the layers, it is work, but ultimately the most rewarding work I've ever done. At the root i found a malignant mix of perfectionism, some insecurity, anxiety combined with a probable genetic predisposition that combined to form an unrealistic view of my world. The good thing is it's more than manageable if I acknowledge it's there and work on it.