Imposter Syndrome and Mental Health

Understanding Imposter Syndrome

Imposter syndrome is more than just self-doubt—it’s a persistent internal belief that your success is undeserved and that you will eventually be “found out” as a fraud. People experiencing imposter syndrome often underestimate their abilities, attribute success to luck, and overwork themselves to maintain the illusion of competence.

This pattern of thinking can have significant consequences for mental health, often leading to anxiety, depression, and burnout. For some, imposter syndrome overlaps with conditions such as OCD, ADHD, and social anxiety, which can further intensify feelings of inadequacy. At Smart TMS, we understand how these interconnected issues can weigh heavily on individuals—and we provide evidence-based transcranial magnetic stimulation (TMS) treatment to support recovery.

The Psychological Roots of Imposter Syndrome

Imposter syndrome is rooted in cognitive distortions—unhelpful patterns of thinking that convince people they are not as capable as others believe. These distortions can appear in different ways:

• The Perfectionist – feels like a failure unless they achieve flawless results.

• The Expert – constantly seeks more training or qualifications before feeling “ready.”

• The Overachiever – works harder than everyone else to hide self-doubt.

The problem is that even when success is achieved, the internal belief does not shift. Instead of building confidence, each achievement fuels the thought: “I don’t deserve this.”

Imposter Syndrome and Women

Research shows that women are disproportionately affected by imposter syndrome, particularly in male-dominated fields or leadership roles. Gender stereotypes, societal expectations, and workplace inequalities all contribute to these feelings.

For many women, imposter syndrome coexists with chronic anxiety, perfectionism, and depression. Left unaddressed, it can lead to self-sabotage—turning down promotions, avoiding leadership opportunities, or struggling with burnout.

The Link Between Imposter Syndrome and Mental Health Conditions

Imposter syndrome does not always exist in isolation. It can be both a cause and consequence of other mental health difficulties:

• Imposter Syndrome and Anxiety – Persistent self-doubt often manifests as constant worry and tension. Over-preparing, second-guessing, and replaying interactions can fuel chronic anxiety. Smart TMS provides TMS treatment for anxiety, offering a non-invasive option that targets brain regions linked with anxious thought patterns.

• Imposter Syndrome and Depression – When self-doubt persists, it can lead to feelings of hopelessness, exhaustion, and depression. Our TMS for depression programmes are clinically proven to reduce symptoms of low mood and restore balance.

• Imposter Syndrome and  OCD – For those with obsessive-compulsive tendencies, imposter syndrome can worsen compulsive checking, reassurance-seeking, or perfectionistic behaviours. At Smart TMS, we provide specialist TMS for OCD, giving patients a safe and effective alternative treatment.

• Imposter Syndrome and ADHD – Adults with  ADHD may be especially vulnerable to imposter syndrome due to struggles with focus, organisation, and time management. This often leads to the belief that achievements are not deserved. Smart TMS offers TMS for ADHD, which supports improved attention and function.

Long-Term Consequences if Left Untreated

If ignored, imposter syndrome can become a self-perpetuating cycle:

• Overworking leads to burnout.

• Anxiety worsens due to fear of being “exposed.”

• Depression deepens as achievements feel meaningless.

• Opportunities are missed because of self-sabotage.

This is why it is important not only to challenge negative thinking but also to address any underlying mental health conditions.

Overcoming Imposter Syndrome: Strategies and Support

While lifestyle strategies such as self-compassion, reframing thoughts, and celebrating small wins can help, professional support is often needed when imposter syndrome is tied to mental health conditions.

At Smart TMS, we offer tailored TMS therapy programmes to treat depression, anxiety, OCD, and ADHD. By directly targeting the areas of the brain involved in mood regulation and thought patterns, TMS can reduce symptoms and help individuals break free from cycles of self-doubt.

How Smart TMS Can Help

At Smart TMS, we believe that nobody should struggle in silence. If imposter syndrome is affecting your career, relationships, or self-worth—and if it is accompanied by anxiety, OCD, ADHD, or depression—we can help.

• Non-invasive treatment – No medication, no anaesthetic.

• Proven results – Backed by clinical research and NICE guidance.

• Personalised care – Tailored treatment plans designed around your unique needs.

By combining compassionate support with advanced TMS therapy, we empower individuals to overcome self-doubt, manage mental health conditions, and live with confidence.

Final Thoughts

Imposter syndrome can feel like a silent battle, but you don’t have to face it alone. Whether you’re struggling with anxiety, depression, ADHD, or OCD, Smart TMS offers safe and effective treatment options that can help you regain control of your life.

References

1. https://www.simplypsychology.org/imposter-syndrome.html
   
   
2. https://academic.oup.com/bjsw/article-abstract/48/5/1432/4555492
   
   
3. https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2020.575024/full
   
   
4. https://www.docs.hss.ed.ac.uk/iad/Researchers/Research_staff/Imposter_Syndrome.pdf
   
   
5. https://doi.org/10.1093/bjsw/bcx109