Feeling like a fraud despite clear evidence of competence is more common than most people realise, particularly among high-achievers. It can show up as persistent self-doubt, a fear of being "found out," difficulty accepting praise or recognition, or a tendency to overwork in order to compensate for feelings of inadequacy that don't match the reality of someone's ability. Left unaddressed, it can quietly drive burnout, as the constant need to prove oneself leaves little room for rest.

This pattern often has roots in earlier experiences, messages received growing up, or environments where achievement felt tied to worth. I help clients understand where the pattern comes from, using CBT to work with the immediate thoughts and behaviours that keep it going, and drawing on schema therapy where the roots run deeper. Over time, this builds a more grounded, accurate sense of one's own ability, rather than one shaped by old, unhelpful beliefs.