You receive the promotion, win the client or complete the qualification. The evidence says you are capable. Instead of feeling established, you become more aware of what is now expected of you.
You wonder whether other people have overestimated you. You prepare for questions that may never be asked, hesitate before giving an opinion and quietly expect one imperfect moment to reveal what everybody else has missed.
The direct answer is that imposter-style anxiety discounts evidence of competence while treating uncertainty as evidence of inadequacy. Success is explained as luck, timing, help or excessive preparation. A pause, unfamiliar task or difficult day is treated as the more accurate measure of who you are.
I am Louise Squires, a Clinical Hypnotherapist and Psychotherapist specialising in anxiety, panic and phobias. I work privately from Cavendish Square in London’s Harley Street medical district and online throughout the UK.
My Focused Hypnotherapy Programme addresses the automatic pattern beneath the self-doubt, overpreparation and fear of exposure. It involves one to four structured sessions. Some clients find one or two sessions are all they need, and every client receives supporting audio and ongoing support from me.
What does imposter syndrome at work look like?
You may be outwardly successful and still feel as though your position is conditional. The pattern is often most visible in the private work you do to prevent anybody questioning your competence.
- Reading before a meeting until you have covered questions outside your role
- Waiting for somebody else to speak before offering the answer you already know
- Preparing a response before asking for clarification
- Assuming colleagues understand a subject more deeply than you do
- Feeling uncomfortable when somebody introduces you as an expert
- Explaining praise away as politeness
- Believing a promotion has placed you above your real level
- Rechecking familiar information before sharing it
- Overexplaining decisions so nobody can question your reasoning
- Comparing your uncertainty with another person’s confident delivery
- Feeling fraudulent when a task comes easily
- Thinking you should know the answer immediately
- Avoiding visible opportunities despite wanting them
- Feeling relief rather than satisfaction when a presentation goes well
- Worrying that asking for help will expose a gap
- Assuming one error could change how everybody sees you
- Replaying whether your contribution sounded senior enough
- Attributing successful work to preparation rather than ability
- Waiting to feel qualified for work you are already doing
- Believing the next role will finally reveal your limitations
Is imposter syndrome a recognised diagnosis?
No. Imposter syndrome, also called the imposter phenomenon, is not a formal psychiatric diagnosis. It describes a pattern in which capable people struggle to internalise achievement and fear being exposed as less competent than others believe.
A systematic review found that the phenomenon has been described across occupations and can occur alongside anxiety, depression, reduced job satisfaction and burnout. The researchers also noted wide variation in how it is measured, which is one reason not to treat the label as a precise diagnosis. Read the systematic review of the imposter phenomenon.
You do not need a label before seeking help. The useful question is what happens in your particular sequence and how much it is restricting your work, decisions or ability to recognise your own competence.
Why does success fail to make you feel more legitimate?
Success should provide corrective evidence. In the imposter pattern, the evidence is given an alternative explanation.
“The presentation worked because I prepared every possible answer.”
“The client stayed because the team supported me.”
“They praised me because they do not know how uncertain I felt.”
The achievement remains real, but your mind transfers the credit elsewhere. Anxiety then treats the next challenge as the first genuine test.
You can accumulate promotions, qualifications and good results without accumulating confidence because each result is filed as an exception. The evidence is not missing. It is being prevented from changing the conclusion.
Why can a promotion make imposter feelings stronger?
A promotion increases visibility and responsibility. You may have fewer people above you who can approve a decision before you make it. The work contains more judgement and fewer answers that can be checked in advance.
You tell yourself you should feel confident because the promotion confirms your ability. When anxiety appears, you interpret the feeling as evidence that you are not ready.
The unfamiliarity of the role is then confused with incompetence. You overlook the fact that learning is part of moving into a larger position. Other people selected you because of the judgement and ability you already demonstrated, not because they expected you to have completed the new role before beginning it.
Why do you assume everybody else knows what they are doing?
You have access to your own hesitation, preparation and unanswered questions. You usually see only another person’s finished sentence.
A colleague speaks decisively, so you assume they feel certain. You do not see the notes they made beforehand, the question they asked privately or the decision they later reconsidered.
Anxiety compares your internal process with somebody else’s external presentation. It is not a fair comparison, but it feels persuasive because your own uncertainty is immediate and visible to you.
Why does praise make you uncomfortable?
Praise should settle the question. Instead, it can increase the distance between how other people see you and how you see yourself.
You minimise the result, name everybody who helped or explain why the task was easier than it looked. This may appear modest, but it can also prevent you from accepting accurate information about your contribution.
If you accepted the praise, you might feel expected to repeat the performance. Dismissing it protects you from that pressure while preserving the belief that your reputation is built on incomplete information.
Why do you overprepare when you already know the subject?
Preparation becomes a way of reducing the risk of exposure. You cover the subject, then the possible questions, then the questions that would be outside the meeting’s purpose.
The presentation goes well. Your mind credits the preparation rather than your knowledge, experience or ability to respond in the moment.
Next time, reducing the preparation feels dangerous because you believe the excess is what protected you. This overlaps with high-functioning anxiety, where strong results are maintained through pressure, perfectionism and constant internal supervision.
Why does asking a question feel risky?
A useful question can feel like a public admission that you do not belong.
You wait, hoping somebody else will ask. You search privately or spend longer working it out alone. When the answer arrives, it may be straightforward, which makes you criticise yourself for not knowing it already.
Experienced people ask questions because responsible work requires information. Imposter anxiety changes the meaning of the question from “I need this detail” to “This detail reveals my inadequacy.”
Why do you struggle when asked for an immediate opinion?
You may know the subject well and still feel exposed when somebody asks what you think without warning.
There is no time to check your wording or anticipate every objection. You hear yourself answering while assessing whether the answer sounds sufficiently informed.
That divided attention can make a familiar idea harder to express. The hesitation then appears to confirm the fear that you do not know enough, when part of your capacity is simply occupied by supervising your performance.
Why does reassurance from your manager wear off?
Your manager says you are doing well. You feel relieved, then wonder whether they have seen the work closely enough or are simply being encouraging.
The reassurance addresses the current question. Anxiety creates a new exception. The next difficult task has not been assessed yet, so the uncertainty returns.
Repeated reassurance can move authority away from your own judgement. If this has become a wider pattern, read Why Do I Need Constant Reassurance? If a short message such as “Have you got five minutes?” immediately feels like the moment you will be exposed, read why manager messages can trigger panic.
Why can imposter anxiety make you avoid opportunities?
You may want the role, speaking opportunity or larger client and still delay putting yourself forward.
Remaining where you are gives you access to evidence that you are competent. A new opportunity contains uncertainty, new observers and fewer familiar routines. Anxiety interprets the move as a greater chance of exposure.
You tell yourself you will apply when you have another qualification, more experience or a stronger portfolio. The finishing point moves because the real requirement is not competence. It is complete certainty that nobody could question you.
Why can procrastination be part of the same pattern?
Procrastination is not always a shortage of motivation. It can delay the moment when your work becomes visible and assessable.
You research, organise and refine the approach without producing the first version. When the deadline becomes urgent, pressure finally outweighs the fear and you complete the work.
If it succeeds, your mind concludes that pressure is necessary. If it contains a flaw, the rushed finish appears to confirm that you were not capable. In both cases, the fear of beginning imperfectly remains intact.
Why does one mistake feel capable of exposing everything?
An error is not allowed to remain an event. It becomes a verdict.
You send the wrong attachment or overlook a detail. The useful response is to correct it, communicate appropriately and decide whether anything needs to change. Imposter anxiety continues after that work is complete.
You imagine colleagues connecting the mistake with every private doubt you have had. Years of effective work seem capable of being erased by one imperfect moment.
If fear of errors, repeated checking and professional responsibility are the central problem, the distinction matters: imposter anxiety asks whether you belong; fear of mistakes asks whether a particular error will prove that you do not.
Why does “fake it until you make it” sometimes make the problem worse?
The phrase can encourage useful action before confidence arrives. It can also reinforce the idea that your professional self is an act.
You are not necessarily faking competence. You may be using real knowledge while experiencing doubt. Presenting despite nerves is not deception. Making a decision without perfect certainty is part of professional judgement.
The more accurate objective is to participate before the feeling of legitimacy is complete, then allow the real evidence from that participation to count.
When the workplace contributes to imposter feelings
Not every feeling of inadequacy is generated internally. Vague expectations, poor induction, discrimination, exclusion, shifting standards or a blame-focused culture can make capable people question their position.
Hypnotherapy should not be used to make unreasonable conditions feel acceptable. Practical action may include clearer expectations, training, supervision, occupational health support, HR or union advice, or reconsidering whether the environment is right for you.
The initial consultation helps distinguish the automatic pattern from the real context. Sometimes both need attention.
Is this the same as social anxiety?
The patterns can overlap. Social anxiety centres on scrutiny, visible nervousness and how you believe you appear during interactions. Imposter-style anxiety centres on legitimacy and the fear that other people will discover you are less capable than they believe.
You may speak comfortably with colleagues while privately feeling that your position is undeserved. Alternatively, professional visibility may activate both patterns.
Is this the same as overthinking?
Overthinking is the process of continuing to analyse after useful thinking has finished. Imposter anxiety gives that process a specific task: determine whether the meeting, message or decision exposed a lack of ability.
The review feels productive because it appears capable of protecting your reputation. In reality, you are trying to settle your legitimacy by re-examining an event that has already finished.
What I notice in my clinical work
In my clinical work, I notice that people who are most frightened of being exposed often bring considerable evidence of competence into the room without allowing that evidence to carry much weight.
They tell me about promotions, retained clients, demanding projects, qualifications and years of experience, then add: “But I had a lot of help.” “But they do not see how much preparation it takes.” “But I should know more by now.” “But this next role is different.”
Every achievement is treated as context-dependent. Every uncertain moment is treated as personally revealing.
The feared discovery is often precise. It may be that you are inexperienced, unintelligent, indecisive, overly emotional, unqualified or have advanced beyond your real level. Understanding that feared meaning is more useful than repeatedly listing your achievements and hoping one finally feels convincing.
What is the imposter-anxiety cycle?
The cycle explains why strong performance does not automatically create confidence. Each protective behaviour appears to prevent the feared discovery, so the underlying prediction remains untested.
Why does logical evidence fail to resolve the feeling?
You may have already written the list of qualifications, positive feedback and completed projects. You understand the evidence intellectually.
The problem continues because the response is automatic. Professional visibility activates a prediction, the body responds and the feeling is interpreted as information.
“If I feel this uncertain, perhaps I am not ready.”
Reasoning with the thought can provide temporary reassurance. It does not necessarily change the learned connection between visibility and exposure. This is why logical reassurance alone may not stop the pattern.
What changes when you can internalise your achievements?
You do not become arrogant or stop learning. You become able to let evidence carry proportionate weight.
- You can accept praise without immediately explaining it away
- You can ask a question without turning it into a confession
- You can contribute before every sentence feels polished
- You can learn a new role without expecting immediate mastery
- You can distinguish uncertainty from incompetence
- You can prepare according to the task rather than the fear
- You can make a decision and remain available to new information
- You can recognise help without erasing your own contribution
- You can correct an error without making it evidence about your identity
- You can pursue an opportunity before confidence feels complete
Your capability no longer needs to be proved afresh in every meeting. Success can become information rather than a temporary reprieve.
How may hypnotherapy help with imposter-style anxiety?
Hypnotherapy may be used to address the learned thoughts, feelings and behaviours maintaining the pattern. It is not an established medical treatment for a diagnosis called imposter syndrome, because imposter syndrome is not a formal diagnosis.
We look at your individual sequence: where the response appears, what exposure would mean, whose judgement matters, how you protect yourself and what happens to the evidence after you succeed.
The focus is not on persuading you to repeat positive statements you do not believe. It is on changing the automatic response so that you can use your knowledge, ask, decide, learn and participate without continually waiting for exposure.

Focused work for people ready to move beyond the pattern
My Focused Hypnotherapy Programme is for people ready for something to change. You do not need to arrive certain or perform confidence for me. You need to be open to a focused approach and willing to engage with the response you want.
Initial consultation
We identify where the pattern appears, what being exposed would mean and how overpreparation, reassurance or reduced visibility currently creates temporary safety.
One to four structured sessions
The programme involves one to four structured sessions. Some clients find one or two sessions are all they need. I recommend the appropriate option after understanding the history, impact and outcome you want.
Supporting audio and ongoing support
Every client receives supporting audio and ongoing support from me as part of the programme.
Treatment in Harley Street and online
In-person appointments are available privately in Cavendish Square, within London’s Harley Street medical district. Online appointments are available throughout the UK.
View the Harley Street clinic information, read more about my experience and approach, or explore the wider Anxiety Hub.
When should you seek additional support?
Speak to your GP or another suitably qualified professional if anxiety, low mood, stress or burnout is significantly affecting your health, work or daily life. Adults in England can self-refer to NHS Talking Therapies.
Seek urgent professional help if you feel unable to keep yourself safe or are experiencing a mental-health crisis. Hypnotherapy does not replace appropriate medical or psychological care.
Questions about imposter syndrome at work
Does feeling like an imposter mean I am in the wrong job?
No. The feeling does not establish whether a role suits you. Imposter-style anxiety often persists despite qualifications, experience and positive feedback because achievements are explained away while uncertainty is treated as evidence of inadequacy.
Why did my imposter syndrome get worse after a promotion?
A promotion increases visibility, responsibility and the number of decisions that cannot be checked in advance. Anxiety can interpret that uncertainty as evidence that you have exceeded your real ability, even though the promotion itself reflects other people’s confidence in you.
Can hypnotherapy help with imposter syndrome?
Hypnotherapy may help address the automatic link between professional visibility, predicted exposure, anxiety and protective behaviours such as overpreparing or seeking reassurance. Suitability is assessed during an initial consultation. For practical questions about the process, visit the hypnotherapy FAQs.
Let success become evidence
You do not need to know everything to belong in the room. You need to be able to use what you know, ask when information is missing and respond when something changes.
A promotion can mean that your ability has been recognised. A difficult question can be a question. An unfamiliar task can be part of growth rather than the beginning of exposure.
Your initial consultation is where we identify what feeling fraudulent has come to mean, clarify the response you want and decide whether my Focused Hypnotherapy Programme is right for you.
Your consultation deposit is deducted from any sessions you subsequently book. The 48-hour cancellation policy applies.