Maladaptive perfectionism has been associated with psychological disorders such as depression, anxiety, migraines, sexual dysfunction, and personality, eating, and obsessive-compulsive disorders. Researchers have theorized that contingent self-worth is an important factor in maladaptive perfectionism; however, there is a paucity of empirical research that addresses this relationship. The purpose of this quantitative study was to examine perfectionism, as measured by the Child and Adolescent Perfectionism Scale, as a multidimensional construct impacting contingent self-worth, as measured by the Self-Worth Contingency Questionnaire. Survey research was used to gather data from middle school students in rural Eastern Colorado (N = 91). Factor analysis empirically validated the two theoretically expected dimensions of perfectionism (socially prescribed and self-oriented), and cluster analysis of the factor scores yielded the four expected perfectionist subtypes (socially prescribed, self-oriented, combined type, and nonperfectionist). Discriminate analysis revealed how the three subtypes involving high levels of one or both types of perfectionism were maximally discriminated on areas of contingent self-worth. Specifically, importance of schoolwork and extracurricular activities maximally discriminated combined-type from self-oriented perfectionism. Likewise, importance of schoolwork and social acceptance and approval maximally discriminated socially prescribed from self-oriented perfectionists. These perfectionism-self worth profiles provide pathways for facilitating social change by driving the development of interventions that focus on moving adolescents from maladaptive to adaptive styles of perfectionism and preventing associated psychological disorders.