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  • Sarah Pospos, MD, MS

How to Deal with Imposter Syndrome at Work

Updated: Apr 24, 2023

As a psychiatrist, I help many high performers who struggle with the constant self-doubt of not being good enough; here I’ll help you understand what is truly happening so you can identify signs of imposter syndrome and discover how to overcome it.

Signs of Imposter Syndrome

Imposter syndrome is very common: 9-82% in prevalence. It’s a condition that describes high achievers who - despite their successes - have persistent self-doubt and fear of being exposed as an imposter.

If you’re struggling with imposter syndrome, you may attribute your success to sheer luck or help from others but think of your setbacks as proof of being incapable. You may work yourself to the bone to pursue endless achievements but are unable to accept recognition when success is achieved. This can easily lead to poor job performance and satisfaction, low self-esteem, burnout, depression, and anxiety.

How to Deal with Imposter Syndrome

With milder symptoms, you may consider a specific type of therapy called Cognitive Behavioral Therapy (CBT). CBT aims to identify and address our distorted thinking patterns, which will in turn affect our feelings, behaviors, and outcomes.

Some CBT techniques with examples (but by no means are substitutes for treatment):

Step 1: Take Notes

Record the situation (what happened, where, and who was involved); your emotions (rate the intensity from 0-100%); and the automatic thoughts that preceded those emotions (rate your confidence from 0-100% on each automatic thought's accuracy).


Your supervisor mentioned that coworker X from another division just got promoted


helpless (70%), anxious (60%)

Automatic thoughts:

I’ll never get promoted because I’m not good enough (80%)

They’re going to find out that I’m not the real deal (70%)

Click here for common types of distorted automatic thoughts.

Step 2: Pick Your #1 Automatic Thought

In the example above: “I’ll never get promoted because I’m not good enough.”

Step 3: Explore this Automatic Thought in a More Logical Way

#1 List evidence of your competence in your daily life

"I'm able to finish all the things I need to do today. I didn't get into any trouble."

#2 Examine evidence for and against your automatic thought

Assess the quality of each piece of evidence. Would a good lawyer, defending you, think of it as good evidence?

#3 Use the if-then analysis

"IF coworker X from another division got a promotion, THEN are you not good enough?"

#4 Separate feelings from facts

Feelings: helpless, anxious (“I’m not good enough”)

Facts: I completed my daily tasks, exceeded expectations, and received great feedback. I know how to do my job. I received a promotion in the past.

#5 Check for double standards

Think of someone you admire and consider competent. When coworker X in another division got promoted, does it make this person not good enough? Similarly, when coworker X in another division got promoted, does it make you not good enough?

#6 Use positive self-statements

Choose 1-2 statements such as “I did it, I can do it, I will do it,” and say them repeatedly whenever doubt or anxiety creeps in.


When to See a Psychiatrist

If constantly feeling like an imposter causes distress that interferes with your work, relationships or daily responsibilities, more help is needed.

Psychiatrists are specialized medical doctors who require at least 12 years in higher education and 15,000 hours of clinical training before being allowed to independently diagnose, treat, or prescribe medications. In comparison, nurse practitioners (NP) require 500 clinical hours (typically supervised by a medical doctor), and physician assistants (PA) require 2,000 clinical hours.

One major hesitation for busy professionals is that medication may cause daytime sleepiness or brain fog that interferes with your work. I worked in the corporate world before my medical training - I understand. Some antidepressants, like trazodone, can be sedating and help with sleep. However, in the case of trazodone, you may also watch out for morning grogginess.

Every patient is different, and my recommendations are always made on a case-by-case analysis. If together we determine that medication is beneficial, I’ll walk you through different options, thoroughly explaining the risks, benefits, alternatives, and potential side effects, so you can be fully informed and content with the next steps. My Masters Degrees in Psychopharmacology and Applied Psychology add even more insight on all things medication and human behavior.

Book a free 15-minute initial phone call to become the best version of yourself again.

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