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Edited and reviewed:

Dec 3, 2025

SCIENCEWORKS
BEHAVIORAL HEALTHCARE

Complete Care for all Neurotypes
Therapy | Assessments | Coaching

Inference-Based CBT (I-CBT) for Work Anxiety, Imposter Syndrome, and Professional Doubt in Tennessee

On the outside, you may look like a strong performer. On the inside, work might feel like a constant test you are one mistake away from failing. At ScienceWorks Behavioral Health, we use inference-based CBT to support professionals across Tennessee who are tired of working under chronic fear.

You might be a good fit for I-CBT for work anxiety if:

  • You fear being found out as incompetent, even with good feedback or promotions.

  • You replay emails, meetings, or presentations for hours, scanning for mistakes.

  • You feel responsible for everything going well and guilty when anything goes wrong.

  • You cope by overworking, people pleasing, or constantly seeking reassurance.

  • You suspect neurodivergence plays a role in how you experience work and feedback.

Top Statistics Related to Work Anxiety and Imposter Syndrome

  • Stat 1: An estimated 19.1% of U.S. adults had any anxiety disorder in the past year (2001-2003). Source: NIMH: Any Anxiety Disorder

  • Stat 2: CDC reports that 18.2% of U.S. adults had symptoms of anxiety in 2022 (2022). Source: CDC NCHS Report (2024 PDF)

  • Stat 3: In APA's 2025 Work in America survey, 54% of U.S. workers said job insecurity significantly impacted their stress at work (2025). Source: APA: Job Insecurity & Stress (2025)

  • Stat 4: Gallup estimates disengagement cost the world economy $438 billion in lost productivity in 2024 (2024). Source: Gallup: State of the Global Workplace

  • Stat 5: A 2025 meta-analysis (30 studies; 11,483 people) estimated imposter syndrome prevalence at 62% (2025). Source: Salari 2025 (PubMed)

  • Stat 6: In February 2021, 43.5% of adults in Tennessee reported symptoms of anxiety or depression (Feb 2021). Source: NAMI Tennessee Fact Sheet (PDF)

When I-CBT for work anxiety can help

Work anxiety and imposter syndrome can show up at any job level, from early career to leadership. In Tennessee, many people reach out when constant fear of making a mistake, disappointing others, or being exposed as a fraud starts to drain joy and health.

I-CBT for work anxiety may help if you:

  • Second guess decisions long after they are made.

  • Assume neutral feedback means you are secretly in trouble.

  • Feel responsible for preventing every possible problem and feel crushed when something slips.

  • Overwork to avoid feeling like you are letting people down.

  • Struggle with executive function, time management, or burnout alongside anxiety.

You are not a fraud. Your brain has learned that staying safe at work means predicting every possible problem and blaming yourself first. Therapy offers another way.

How I-CBT for work anxiety works at ScienceWorks Behavioral Healthcare

Inference-based CBT helps us examine the stories you tell about your competence, value, and safety at work. We also integrate CBT and executive function-informed coaching to address both anxiety and practical challenges in your workday.

What sessions look like

  1. Clarify your work context
    We explore your role, workplace culture, identities, and history with feedback and responsibility.

  2. Map fear-based inferences
    Using I-CBT, we track how you move from a small cue (a delayed reply, a comment, a facial expression) to the conclusion that you are failing.

  3. Shift patterns with experiments
    Together we design low risk experiments, like sending emails without over-editing, delegating a task, or leaving work on time, and watching what actually happens.

  4. Support your executive function
    We add planning, prioritizing, and energy management tools shaped around your specific brain and job demands.

We are not here to turn you into a different person or tell you to stop caring. We aim to help you care sustainably, with room for rest, boundaries, and self-respect.

Who we help in Tennessee

ScienceWorks Behavioral Health supports professionals across Tennessee, including salaried employees, freelancers, leaders, and caregivers, who live with work anxiety, imposter syndrome, perfectionism, responsibility OCD, and burnout.

We often work with:

  • Neurodivergent professionals navigating masking, feedback, and sensory load at work.

  • High responsibility roles where mistakes can feel especially loaded.

  • People balancing work with parenting, caregiving, or chronic illness.

  • Folks considering job changes who want support thinking through options.

Telehealth makes it easier to fit therapy into a workday. As long as you are physically in Tennessee at session time, you can join from a private space at home or another location.

Why choose ScienceWorks for I-CBT for work anxiety?

Neurodivergent-affirming workplace support

We take seriously how ADHD, autism, and other forms of neurodivergence interact with workplace expectations. You do not have to mask with us.

Evidence-based and practical

We know you are already holding a lot. We are not here to criticize your performance, but to understand what is happening and support change where you want it.

Collaborative, non-blaming style

We combine I-CBT, CBT, and executive function-informed coaching so you get both mindset shifts and concrete tools for your daily work.

Online access across Tennessee

With telehealth, you can access support even if you live far from major cities or have a demanding schedule.

Getting started with I-CBT for work anxiety in Tennessee

If you are already overwhelmed at work, finding therapy should not add another full time job. We keep the steps straightforward.

  1. Reach out
    Complete our contact form and mention that you are seeking support for work anxiety, imposter syndrome, or burnout in Tennessee.

  2. We match you
    When appropriate, we connect you with a clinician who understands work stress, neurodivergent needs, and responsibility dynamics.

  3. Begin sessions
    Early sessions focus on understanding your context and building a plan that prioritizes safety, boundaries, and realistic change.

If work has started to feel like a constant threat instead of a manageable challenge, and you live in Tennessee, you are welcome to reach out to ScienceWorks Behavioral Health and see whether this kind of support feels right for you.

FAQs about I-CBT for work anxiety in Tennessee

Can you talk to my employer?
With your written consent, we can sometimes collaborate with workplaces around accommodations. We will talk together about what feels safe and helpful before any contact.

What if my workplace is actually unsafe or unhealthy?
We take your concerns seriously. Therapy can help you reality check, build boundaries, and plan next steps, which may include staying with more support or exploring change.

Is this coaching or therapy?
Our clinicians are licensed mental health professionals providing therapy. We also integrate coaching style tools when helpful, but this is not a business consulting service.

Can this help if I am not currently employed?
Often yes. We can work on past work experiences, fears about returning to work, and patterns that show up in job search or interviews.

About ScienceWorks Behavioral Health

ScienceWorks Behavioral Health offers therapy, psychological assessments, executive function support, and groups for concerns like work anxiety, ADHD, autism, OCD, trauma, and insomnia. We care about helping people build lives that are sustainable, not just impressive.

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Disclaimer: This page provides general educational information and is not a substitute for mental health diagnosis or treatment. Reading this page does not create a therapist–client relationship with ScienceWorks Behavioral Healthcare. Services are provided via telehealth to clients located in Tennessee (and other jurisdictions where our clinicians are authorized to practice); if you are outside Tennessee, contact us to confirm availability in your location. If you are in crisis or may be at risk of harm to yourself or others, call 911, go to your nearest emergency room, or call/text 988 (U.S.). Additional emergency support can be found here: Emergency Resources.

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