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Drawing on previous work on the relationship between intensive mothering ideologies and mental health outcomes, the present study analyzed the relationship between the pressure to be the perfect mother and psychological well-being for modern mothers. Specifically, this study suggests that even women who do not subscribe to these ideologies are at-risk for experiencing increased stress and anxiety, and decreased self-efficacy in the face of the pressure to be perfect and guilt for not living up to high mothering expectations. The sample for this study was recruited using a snowball sampling technique via e-mail and an online survey instrument. The final sample included 283 mothers aged 18-50 mostly from the West (45%) and Midwest (29%) regions of the U.S., but also including the South (18%) and Northeast (8%). Hierarchical linear regression results indicate that mothers who experience the pressure to be perfect experience lower self-efficacy (<.05) and higher levels of stress (p<.01). Mothers who experience guilt for not meeting parenting expectations also experience lower self-efficacy (<.001), higher levels of stress (p<.001) and higher levels of anxiety (p<.001). Contrary to prior research, intensive mothering beliefs were not a significant predictor of poorer mental health. Results are discussed in terms of the detrimental effects of internalizing guilt and the pressure to be the perfect mother.