I feel you. My problem is actually both. The house is a mess, and I'm a perfectionist with no energy. Terrible combination. The perfectionist part came about with the mhi, before I was more balanced.
At the heighth of my depression I simply couldn't get anything done. My room was a complete mess and every few months I had to clean it out and it usually took around 2-3 huge bin bags. Of course I was too lazy to even carry them down to the first floor or outside, so I'd just dump them in the spare room next to mine. So, that eventually became a problem, too. My hygiene at the time was a disaster as well. As for the rest of house/garden in general that's not so much my fault, my brother contributed mightily. Over the years I've become cleaner, my room has been tidy for about 17+ years now (as is the spare room). Just had it one day. There's a few things on the floor, but could have those put away in 15mins. I've also done a lot in the house, but there are still some messy parts and most of all I need to fix up parts of the place (flooring, wallpapers, painting, kitchen, bath needs an overhaul). When that is done, so am I.