Imposter Syndrome: Symptoms, Types, and Treatments

Imposter Syndrome: Symptoms, Types, and Treatments
Last updated: May 06, 2026 | Written & Reviewed by OCP Team

Have you ever felt like you are not where you are supposed to be? Or do you doubt your capabilities and fear that you will be exposed as an imposter? 

If yes, there are chances that you might be experiencing imposter syndrome. 

It’s a common condition that can be experienced by men and women in between 25% and 76%, as per the research by the National Library of Medicine.

People in this state may feel nervous and remain in excessive fear. It’s a behavioral health phenomenon in which individuals doubt their accomplishments and skills while they perform best in their work. 

Although it’s not a mental health diagnosis, imposter syndrome can cause real harm. It leads to depression, anxiety, stress, and shaken self-esteem. 

Understanding this condition can help people to get an earlier diagnosis, reduce the stigma, and help people to get professional treatments. 

What is Imposter Syndrome?

The meaning of impostor syndrome is that it’s a psychological condition that is characterized by persistent doubt concerning one’s abilities or accomplishments.

It is also known by the term impostor phenomenon, fraud syndrome, or impostor experience. This term was coined by psychologists Clance and Imes in 1978. People in this state think negatively about themselves. It’s a thinking trap where logic is overridden by the fear of social rejection. People believe that they are not capable, or they don’t have any knowledge or skills. They commonly self-doubt and fear they will be exposed as frauds for their honest achievements. 

However, anyone can experience this condition regardless of their gender and backgrounds. Impostor syndrome impacts people both personally and professionally. The irony is that people with imposter phenomena are usually highly talented and impressive individuals. On the other hand, there is no obvious reason for them to feel like an imposter, and yet they still do. This is why it is considered to be a challenging psychological phenomenon that needs to be treated. 

Moreover, this condition severely affects the internal feelings and also affects relationships, projects, or any other areas in which one may feel insecure. 

Symptoms of Imposter Syndrome 

There are no signs of imposter syndrome that can help in the diagnostic process. Instead, there are some other symptoms of mental health conditions that can help in recognizing this condition, which are anxiety, depression, lack of self-confidence, and frustration.

signs of imposter syndrome

Here are some of the common signs and symptoms that may help to recognize this condition. 

  • Attributing success to luck rather than ability
  • Excessive fear of being exposed 
  • Doubting the expertise, even in areas where you are genuinely a genius 
  • Believe that everyone knows more than you
  • Notice “the imposter cycle” happening in your life
  • Feel like you always have to do your very best or more than what’s asked of you
  • Sense uneasy while being praised 
  • Holding oneself back from achieving goals
  • Find it important to get others’ approval

The Imposter cycle

People who are experiencing this condition have different patterns in dealing with everyday life. Imagine you are preparing for a presentation for work. Because of the impostor phenomenon, you may feel very anxious and remain in fear that you won’t do a good enough job, which can lead to different outcomes. You put all the effort into preparing that presentation, learn every bit of it, and at the end, when you succeed, you think that it was all because of luck. You have put all your efforts and are still not giving yourself credit or appreciation. 

As individuals with imposter phenomenon tendencies, don’t let success come in or feel good about it.” Instead, they start worrying about the next big task, which brings back the feelings of self-doubt. 

That’s how this cycle continues. 

The Examples of Imposter Syndrome

In order to understand the imposter phenomenon in a better way.

imposter syndrome example

Here are some of the real-life examples of what it’s like to experience this condition:

Example 1: You’ve been working really hard at your job, but deep down, you may feel like you are not competent enough. On a random day, a person calls you by your formal title, and you feel like a fraud. Because you think that you are not doing your job that way. 

Example 2: An individual has started a new business, but he isn’t marketing his business. That’s where the imposter phenomenon comes in, as one may feel like they might not have the same level of experience or expertise as others in your field. It makes one feel like a fraud.

5 Types of Imposter Phenomenon

If you are struggling with imposter syndrome, it’s better to identify your type. It is broken down into five basic types. 

types of imposter syndrome

1. The Perfectionist

People experiencing this type think that they could have done better. Although they performed well, they also easily find fault in their achievements and are rarely pleased with the outcome. They set extremely high expectations for themselves, even giving their 100%, but they still feel like failures. However, the drive for perfection and the fear of failure can leave one to work really hard over minor details, as they aim to be perfect. They may also expect other people to be perfect, too.

2. The Expert

People who are experiencing this subtype feel like an imposter because they want to know every small thing, just to be an expert. Every individual learns new things throughout their life. However, in this state, they feel like there is more for them to learn; they don’t feel like they are the expert. They wanted to know everything and feel ashamed when they didn’t. They need to know every piece of information before they start a task and constantly look for new certifications or training to improve their skills. For example, if they are looking for a job and see the job requirements, they feel like they don’t meet all the criteria and don’t apply for it. It is because they are afraid of looking stupid if they don’t know the answer.

However, instead of sharing this with others, they do negative self-talk, which sounds like “If I were really smart, I would understand and remember everything I read.

3. The Superperson

In this type of imposter syndrome, one may work really hard in order to become a superperson. But why? Because they want to reach the highest levels of achievement possible, and if they don’t, then people might think of them as fraud. People experiencing this state feel like they have to take on more tasks than others. They are unable to say ‘no’ even if they are struggling to manage everything. The superperson wants to succeed in all aspects of life, such as work, relationships, and may feel stressed when they are not accomplishing something. 

4. The Natural Genius 

Individuals who are naturally genius work hard in order to achieve something, as they may doubt that they are not good enough. As intelligence and ability are seen as natural, they learn new skills easily. However, if they don’t get it right the first time or take a long time to learn, they may feel like an imposter. One should tell the inner self that everything must be handled with ease; otherwise, it’s not natural talent.

5. The Soloist

People in this state feel like they have to do all the things on their own. They don’t ask for help or favors to reach a certain level or status. However, if they need to ask for help, they think that they have failed or been fraudulent, as they question their competence or abilities. They just turn down the help to prove that they are worth it as an individual.

The Behavioral Predictors: The “4 P’s”

Imposter phenomenon manifests through specific behaviors. The 4 P’s of this psychological condition are Perfectionism, Paralysis, People-Pleasing, and Procrastination. These four behavioral patterns occur from impostor feelings and fear of defeat through self-doubt.

1. Perfectionism

Perfectionism is a behavior that makes one set their goals to impossibly high standards. However, they feel like they have failed when they are unable to achieve that goal. Perfectionism leads to imposter phenomenon and self-doubt. The persistent fear of failure causes exhaustion and affects mental health. Even if they win, they focus on the minor flaws instead of the overall win. 

2. Paralysis

Paralysis is a condition in which one may know the exact answer, but they may remain quiet as they doubt their abilities. It is because of the persistent fear that if their answer is wrong, they can be exposed as flawed. However, all these actions cause hurdles in everyday life activities and for the future. This avoidance restricts career progression over time and reinforces imposter feelings.

3. People-Pleasing

Individuals in this state believe that self-worth depends on others’ approval. It leads to one’s commitments and emotional exhaustion. Although helping others is a positive thing, people-pleasing stems from imposter syndrome, which leads one to doubt their abilities and causes low self-esteem.

4. Procrastination

Procrastination also occurs from impostor feelings and fear of failure. Individuals put off their tasks because of excessive fear, and they feel like their efforts are not good enough. However, it severely affects mental well-being and reinforces self-doubt.

What Causes Imposter Syndrome?

There are several factors which may cause one to develop importer syndrome. It can affect people across all backgrounds, ages, and genders. Here are some of the factors that may play a role

how imposter syndrome is developed

  • Family Upbringing

Upbringing and family dynamics can play a significant role in the development of imposter syndrome. It is because many people who have imposter syndrome grew up in families that stressed achievement and success. If a child struggles in childhood, such as overpraising or criticism, they may be at high risk because the mixed signals confuse and later lead to the development of this condition. Parenting styles such as control or overprotection may also play a major role in developing feelings of syndrome. Also, individuals who have low support from parents or have faced conflicts during childhood are also prone to this condition. 

  • Personality Traits 

Several personality traits are linked to imposter syndrome, which include anxiety, low self-esteem, and perfectionism. As having low self-esteem makes one think that they are not worthy or capable, which leads them to excessive fear. Perfectionism is also a personality trait in which one may think that they cannot say the wrong thing, which makes them kind of submissive or shy, which makes them stay quiet even on things where one must speak.

  • Marginalization

If you are in a marginalized group, it can make one feel like they don’t fit, which leads to developing impostor feelings.  Imposter syndrome can also occur because one feels distinct from the people around them, in terms of ethnicity, race, gender, age, or finances. 

  • Social Anxiety

Individuals with social anxiety disorder may feel that they don’t belong in social situations. They remain in fear that others will spot your social awkwardness. The symptoms of social anxiety can increase the risk of developing imposter syndrome; this does not mean that everyone who experiences imposter syndrome has social anxiety. It is because people without social anxiety can also feel a lack of confidence and low self-esteem. 

How Imposter Syndrome Impacts Life? 

Imposter syndrome severely impacts life as it leads to constant anxiety and stress. It is because they always remain on the verge of overachieving, and work too hard for it. They only do it because of fear of rejection or fear of being called a fraud. Eventually, the anxiety gets worse and may lead to depression. Moreover, it set up a vicious cycle in which one may think that the only reason they performed well in the presentation was that they stayed up all night rehearsing. 

The problem with impostor syndrome is that the experience of doing well does nothing to change their beliefs. The thoughts nag in the head, no matter how much you accomplish. It’s as though you can’t internalize your experiences of success. Also, it leads to the development of social anxiety if one may receive feedback instantly.

Moreover, Someone who experiences impostor syndrome tends not to talk about how they are feeling with anyone and struggles in silence, just like those with social anxiety disorder.

How to Overcome Imposter Syndrome?

To overcome imposter syndrome, mental health professionals look at the symptoms to know the root cause. This condition is not registered in the DSM-5 criteria. It is highly treatable with the right combination of treatments.

When you start feeling like an imposter, remember that it’s just a feeling, not the truth.

If imposter syndrome is causing chronic stress, anxiety, or burnout, affects career, or significantly impacts mental health and self-esteem, professional support can be life-changing for overcoming imposter syndrome.

Treatments of Imposter Syndrome 

There are several kinds of treatments that have proven to be helpful to treat this condition. Mental health professionals recommend treatment as per the severity, and combine medications with therapies for better outcomes. 

Here are some of the evidence-based therapies that can help:

Cognitive-Behavioral Therapy (CBT)

It is an evidence-based treatment that is considered one of the most effective treatments. CBT identifies and challenges cognitive distortions and changes them into helpful ones. So one may be able to focus on replacing them with more realistic thoughts.

Group Therapy

It is also considered to be one of the effective treatments as it reduces loneliness and encourages treatment. This therapy takes place in a group setting where people meet others who are struggling with mental health disorders. Hearing about others’ experiences may make one feel less alone, and opening up about one’s own thoughts may give one a new perspective.

Acceptance and Commitment Therapy (ACT)

It aims to build psychological flexibility. It focuses on mindful acceptance of feelings without judgment. Instead of fighting with their thoughts, this therapy encourages people to commit to actions that align with their core values despite the presence of self-doubt.

Psychodynamic Therapy

This therapy is really helpful as it reduces the impacts of deep-rooted inadequacy. It often helps in reducing childhood traumas, family dynamics, or early experiences. 

Moreover, if an individual struggles with other mental health conditions along with imposter feelings, such as anxiety, depression, or burnout. Then, a mental health professional also recommended therapies along with medications for better outcomes. The medications include antianxiety, antidepressant, and antipsychotic.

Seek professional Help at Orange Coast Psychiatry 

If you or any of your loved ones are struggling to manage imposter syndrome and don’t know where to get help.

Don’t worry, help is within reach! 

At Orange Coast Psychiatry, we have a board-certified team of professionals who listen to you and provide treatments that suit you the best. We offer comprehensive evidence-based treatments to help you achieve lasting wellness. So whether it’s anxiety, depression, or any comorbid condition, we are here to help. You can get group and one-on-one sessions. We also offer virtual appointments all over the California so you can get treatments with ease. Our experts offer a safe and warm environment where you can talk about your mental condition freely without fear of judgment.  

So, take the first step today and book your consultations now!

A Take-Home Message

Impostor syndrome is a common psychological experience, particularly among capable and high-achieving individuals. It develops from a mix of personal, social, and cultural factors. Those who suffer from impostor syndrome often doubt their skills, talents, or accomplishments. They may have a persistent internalized fear of being exposed as frauds.

Over time, continuous self-doubt can contribute to mental health difficulties such as anxiety, depression, burnout, and low self-esteem.

Understanding what impostor syndrome is and how common it is can help people take the first steps toward change.

Frequently Asked Questions

Imposter phenomenon is a psychological experience of constant self-doubt and fear of being exposed as a “fraud,” despite external evidence of high competence or success.

To know if you are struggling with this condition, look for signs like perfectionism, attributing success to luck, or fearing you don’t deserve your achievements.

To prevent imposter phenomena in children, parents should praise every effort of their child. Encouraging a growth perspective where mistakes are viewed as learning opportunities, and fostering unconditional love.

High achievers are most at risk of imposter syndrome due to perfectionism, intense pressure to perform, and a tendency to attribute success to luck rather than ability.

Fighting imposter syndrome is important to stop, as it stifles your career, limits your potential, and leads to chronic stress or burnout.

Overcoming imposter syndrome involves challenging self-doubt, writing accomplishments, and reframing perfectionism. Embracing that you are “good enough” rather than being perfect.

Imposter syndrome has a clear track record of success (awards, positive reviews, degrees), but they feel like a fraud regardless. Whereas a skill gap is a lack of specific knowledge for a role, and typically does not have a prior history of success in that specific area.

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Frequently Asked Questions

Imposter phenomenon is a psychological experience of constant self-doubt and fear of being exposed as a “fraud,” despite external evidence of high competence or success.

To know if you are struggling with this condition, look for signs like perfectionism, attributing success to luck, or fearing you don’t deserve your achievements.

To prevent imposter phenomena in children, parents should praise every effort of their child. Encouraging a growth perspective where mistakes are viewed as learning opportunities, and fostering unconditional love.

High achievers are most at risk of imposter syndrome due to perfectionism, intense pressure to perform, and a tendency to attribute success to luck rather than ability.

Fighting imposter syndrome is important to stop, as it stifles your career, limits your potential, and leads to chronic stress or burnout.

Overcoming imposter syndrome involves challenging self-doubt, writing accomplishments, and reframing perfectionism. Embracing that you are “good enough” rather than being perfect.

Imposter syndrome has a clear track record of success (awards, positive reviews, degrees), but they feel like a fraud regardless. Whereas a skill gap is a lack of specific knowledge for a role, and typically does not have a prior history of success in that specific area.

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Dennis Ly Psychiatric Mental Health Nurse Practitioner-BC

Dennis Ly

Psychiatric Mental Health Nurse Practitioner-BC

Dennis Ly is a Board-Certified Psychiatric-Mental Health Nurse Practitioner dedicated to delivering compassionate, evidence-based, and holistic care. With eight years of nursing experience in emergency medicine, Dennis gained extensive experience working with patients in acute crisis, including those with psychiatric and behavioral health needs. These experiences fostered his passion for mental health and shaped his ability to remain calm, empathetic, and collaborative when supporting patients during their most vulnerable moments.

He earned his Master of Science in Nursing from Capella University and completed his Post-Master’s PMHNP certificate at National University, where he received advanced training in psychiatric assessment, psychopharmacology, and therapeutic interventions for children, adults, and geriatric patients. His clinical focus includes the treatment of anxiety, depression, bipolar disorder, schizophrenia, and ADHD.

In addition to medication management, Dennis integrates therapeutic modalities such as cognitive behavioral therapy (CBT), motivational interviewing, and patient-centered therapy into his practice, tailoring care to each individual’s goals and values. He approaches treatment with a holistic and collaborative philosophy, meeting patients where they are and empowering them to build resilience through personalized care.

Outside of work, Dennis enjoys exercising, eating sushi and Korean BBQ, and traveling.

Leemarie Lewis

Psychiatric-Mental Health Nurse Practitioner-BC

Leemarie Lewis is a Board-Certified Psychiatric Mental Health Nurse Practitioner with over six years of experience in emergency medicine, community health, and psychiatric care. She earned her Master of Science in Nursing from West Coast University, where she completed focused training in psychiatric assessment, psychopharmacology, and evidence-based therapeutic modalities across the lifespan. Her clinical interests include the treatment of anxiety, mood disorders, ADHD, OCD, trauma-related conditions, and substance use disorders.
She began her healthcare career at UCLA Health as a nursing assistant, where she frequently served as a one-to-one observer for patients in acute psychiatric crisis. This experience sparked her deep interest in mental health. She went on to provide care for unhoused individuals in Los Angeles, supporting both physical and psychiatric needs while advocating for underserved populations. Much of her clinical background was spent as an emergency department nurse at a Level 1 trauma and county facility, where she gained valuable experience managing complex psychiatric and medical emergencies with empathy and precision.
Leemarie is committed to delivering equitable, inclusive, and culturally responsive care. She emphasizes the importance of creating a collaborative, patient-centered environment where individuals feel heard, supported, and empowered in their mental health journey. She integrates preventive care, patient education, and individualized treatment planning into her practice.
Outside of work, Leemarie enjoys staying active, practicing self-care, and spending time with family and friends. She also loves traveling and trying new experiences that bring joy and balance to her life.

Vivienne Peng

Psychiatric-Mental Health Nurse Practitioner-BC

Vivienne Peng is a board certified Psychiatric-Mental Health Nurse Practitioner with over 10 years of nursing experience working in the mental health field. Fluent in both English and Mandarin, she brings a culturally responsive, person-centered care that honors each individual’s unique background and walks of life.
Vivienne’s clinical expertise spans crisis de-escalation, therapeutic communication, and evidence-based treatment modalities. She draws on a mix of techniques such as psychotherapy-based interventions, integrative care models, medication management, psychoeducation, and complimentary approaches in her care. She has worked with individuals ages 6 and above across a variety of settings. She supports individuals with mental health challenges including depression, anxiety, mood disorders, PTSD, Schizophrenia, and more. She is committed to provide compassionate, empathetic, individual-focused care, always meeting individuals where they are with respect, authenticity, and clinical skills.
Vivienne’s Practice emphasizes on creating a safe and judgement free environment where individuals feel supported and empowered on their mental health journey towards healing and growth. Drawing from the foundation of nursing, trauma-informed, and holistic care, Vivienne collaborates with individuals to develop personalized treatment plans grounded in current research, best practices, and the individual’s own goals and values.

Outside of work, Vivienne enjoys traveling, discovering new restaurants, watching movies and visiting museums. She genuinely enjoys meeting new people and feels inspired everyday by the strength and resilience of those she serves.

Dr. Grawert

Psychiatrist

Dr. Lauren Grawert is a double board-certified psychiatrist with the American Board of Psychiatry and Neurology and Addition Psychiatry. She is an integral part of the team of Supervising Psychiatrists for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast Psychiatry.
In previous roles, Dr. Lauren Grawert was the founder of LHG Telemedicine LLC, as well as Chief of Psychiatry (Northern Virginia) for the Mid-Atlantic Permanente Medical Group; she has also worked in private practice specializing in general psychiatry, substance use disorders, and medically assisted treatment (MAT). Dr. Grawert has served as an expert for the San Diego Community Response to Drug Overdose Task Force; the Addiction subcommittee leader for Kaiser Permanente National Mental Health & Addiction Leadership Organization; and a Professor of Psychiatry at Penn State College of Medicine. She received her medical and psychiatric training at Medical University of South Carolina.
Dr. Grawert is also experienced with a variety of behavioral healthcare models through both private practice and leadership roles at Kaiser Permanente and other organizations.

Jackson Tea

MSN, PMHNP-BC

Administrative Director and Psychiatric Mental Health Nurse Practitioner

Jackson Tea, MSN, PMHNP-BC, serves as the Administrative Director and a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) at Orange Coast Psychiatry. Dedicated to breaking the stigma surrounding mental health, Jackson is passionate about providing compassionate, evidence-based care that empowers individuals to take charge of their mental well-being. His expertise includes comprehensive psychiatric assessments, personalized medication management, and behavioral health interventions designed to help patients achieve the best possible outcomes in their mental health journey.
Jackson’s approach to care is rooted in the belief that mental health is just as vital as physical health. He focuses on creating a supportive, judgment-free environment where patients feel heard, valued, and understood. By offering individualized treatment plans tailored to each person’s unique needs and goals, Jackson helps clients overcome obstacles such as anxiety, depression, mood disorders, and other mental health challenges.
He holds a Post-Master’s Certificate as a Psychiatric Mental Health Nurse Practitioner from National University, a Master of Science in Nursing in Nursing Administration from the University of Phoenix, and a Bachelor of Science in Nursing from California State University, Los Angeles, where he earned Dean’s List honors. As a member of the Sigma Theta Tau Honor Society of Nursing, Jackson remains committed to advancing mental health awareness and promoting high standards of care in the field.
In his role at Orange Coast Psychiatry, Jackson leads clinical operations while ensuring regulatory compliance and delivering high-quality care. His core competencies include psychiatric assessment, evidence-based interventions, crisis management, clinical leadership, and risk mitigation. Above all, Jackson strives to make mental health care accessible and effective for everyone, supporting individuals in making meaningful progress, improving their quality of life, and achieving lasting well-being.

May Faustino

Psychiatric-Mental Health Nurse Practitioner-BC

May Faustino, PMHNP-BC, is a compassionate and highly skilled psychiatric provider with over four years of nursing experience, including three years specializing in psychiatric care. She holds a Master of Science in Nursing from West Coast University, where she received extensive training in managing the psychiatric needs of pediatric, adult, and geriatric populations, as well as providing therapy and counseling services.
May has worked in diverse mental health settings, including forensic psychiatry at the Department of State Hospitals and behavioral health services at Aliso Ridge Behavioral Health. Her clinical expertise spans psychiatric assessments, medication management, and trauma-informed care, with a strong focus on treating anxiety, depression, and trauma-related disorders.
Bilingual in English and Tagalog, May is dedicated to serving diverse patient populations with a culturally sensitive approach. She is trained in evidence-based therapeutic modalities such as cognitive behavioral therapy (CBT) and motivational interviewing and is well-versed in trauma-informed care and suicide prevention strategies.
May is passionate about promoting resilience and recovery through preventive mental health care and individualized, holistic treatment plans. Her commitment to excellence is reflected in her memberships in the American Psychiatric Nurses Association and Sigma Theta Tau International Honor Society of Nursing.
In her personal time, May enjoys fostering mindfulness and well-being through activities she loves, such as spending time with her husband and their two beloved cats, Pippy and Eva.

Dr. Montgomery

M.D. – Psychiatrist

Dr. Torri Montgomery, M.D., is a board-certified psychiatrist with the American Board of Psychiatry and Neurology, with a subspecialty board certification in forensic psychiatry. Dr. Montgomery is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Montgomery earned her Bachelor of Science (Magna Cum Laude) from Arizona State University and her Doctor of Medicine (M.D.) from The University of Arizona, College of Medicine. She completed her psychiatry residency at Los Angeles County Harbor-UCLA Medical Center. During her psychiatry residency, Dr. Montgomery completed a year-long certification in Electro-Convulsive Therapy (ECT), earned a certificate from the Drug Enforcement Agency (DEA) to prescribe medication for the treatment of substance use disorders, and worked in a Medication Assisted Treatment (MAT) clinic for substance use disorders. Additionally, she was appointed Chief Resident and received an Excellence in Teaching award.
After psychiatry residency, she completed her Forensic Psychiatry Fellowship at the University of Southern California, Keck School of Medicine. After completing her fellowship, Dr. Montgomery has worked in public psychiatry for the Los Angeles County Department of Health Services. She teaches, consults, and treats individuals with depressive disorders, anxiety disorders, trauma-related disorders, and serious mental illness (SMI), such as schizophrenia spectrum and bipolar disorders. Her experience includes outpatient, inpatient, emergency, consult liaison, addiction, dual-diagnosis, and forensic psychiatry. She is an expert evaluator on the Superior Court of California Panel of Expert Psychiatrists and Psychologists. Dr. Montgomery is an attending physician for the Harbor-UCLA Department of Psychiatry and serves as a psychiatrist with Orange Coast psychiatry.

Dr. Ravi

M.D. – Psychiatrist

Dr. Dave Ravi, M.D., is a Board Certified Psychiatrist with additional qualifications in geriatric psychiatry. Dr. Ravi is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Ravi graduated from Virginia Commonwealth University (B.S., Magna Cum Laude), VCU School of Medicine (M.D.), Dartmouth Hitchcock Medical Center (Residency in Psychiatry), and John. A. Burns School of Medicine (Fellowship in Geriatric Psychiatry). He currently is a clinical assistant professor of psychiatry at John A. Burns School of Medicine in Honolulu, HI and serves as a psychiatrist with Orange Coast psychiatry.
Dr. Ravi is a dedicated community psychiatrist with extensive experience in public, correctional, inpatient and outpatient settings, and an experienced tele-psychiatrist. He consults on topics in general psychiatry, including quality improvement, treatment planning, and crisis management, and in correctional psychiatry, including recovery-oriented treatment for individuals with serious mental illness and dual diagnosis. His current and future interests focus on understanding the various approaches in managing the suffering and disturbance of complex psychiatric disorders, particularly in the use, misuse, overuse, and misrepresentation of psychotropic medications.

Dr. Irwin

M.D. , Ph.D – Psychiatrist

Dr. Scott Irwin, M.D., Ph.D., is Board Certified Psychiatrist. Dr. Irwin is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
His career mostly focuses on improving outcomes for those with cancer or other progressive, potentially life-limiting illnesses, and their families, through leading-edge clinical services, ongoing research, as well as program development, improvement, and implementation.
He is widely published, has been recognized at many levels for his research, teaching, consulting, and clinical endeavors, and has received research funding from the NCI, NIMH, the National Palliative Care Research Center, the Archstone Foundation, and industry.
Dr. Irwin earned his Bachelor of Science from the University of California, Los Angeles, and both his MD and PhD (neuroscience) at the University of Illinois, Urbana-Champaign. He successfully completed his psychiatry residency at UC San Diego as chief resident of Outpatient Psychiatric Services, as well as a two-year elective in hospice and palliative care at San Diego Hospice and The Institute for Palliative Medicine. He is a diplomate of the American Board of Psychiatry and Neurology, with subspecialty certification in psychosomatic medicine.

Richard Samedra.

Psychiatric-Mental Health Nurse Practitioner-BC

Richard Samedra, PMHNP-BC, is a Board Certified Psychiatric-Mental Health Nurse Practitioner. He brings over 12 years of experience in the mental health field, working with clients facing a wide range of acute and chronic mental health conditions. His journey began as a Licensed Vocational Nurse and Charge Nurse at Westminster Therapeutic Residential Treatment, where he supported clients dealing with anxiety, depression, schizophrenia, bipolar disorder, and substance use disorders. Richard’s dedication was centered on helping these individuals improve their mental health and transition to a lower level of care, whether that meant returning to their families, a board and care facility, or a sober-living environment.
Motivated by a growing passion for mental health care, Richard pursued his Registered Nurse (RN) education at Saddleback Community College and later transitioned to La Palma Intercommunity Hospital Behavioral Health. In this role, he specialized in geriatric psychiatry, working with older adults experiencing conditions such as Parkinson’s disease, dementia, depression, and anxiety. This experience solidified his commitment to mental health, leading him to work at Bellflower Community Hospital, where he provided care for patients experiencing severe psychiatric crises, including suicidal ideation, manic and depressive episodes, substance use disorders, and exacerbated schizophrenia symptoms.
Inspired by the impactful work of PMHNPs at Bellflower, Richard enrolled in the Psychiatric-Mental Health Nurse Practitioner program at Azusa Pacific University. To broaden his expertise, he worked full-time at College Hospital Costa Mesa while completing his studies. There, he gained comprehensive experience across various units, including adolescent, acute men’s and women’s, stabilization, and detox/med-surg. Now, as a PMHNP, Richard is committed to leveraging his diverse background and knowledge to provide compassionate, comprehensive care to those in need.
Richard currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where he is supervised by Dr. Montgomery.

Shaheena Gazipura

Psychiatric-Mental Health Nurse Practitioner-BC

Shaheena Gazipura is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 9 years of dedicated experience in both inpatient and outpatient mental health care. She earned her Master of Science in Nursing from Western University of Health Sciences in Pomona, California.
Shaheena began her career working on an adult psychiatric inpatient unit before transitioning to the geriatric psychiatric inpatient unit at USC Verdugo Hills Hospital. In addition to her clinical work, Shaheena also serves as a Nursing Clinical Instructor, guiding the next generation of nurses through their mental health rotations at a large community college.
Shaheena is a passionate advocate for mental health, believing that it is a fundamental pillar of overall well-being. She is committed to reducing the stigma surrounding mental illness and strives to provide comprehensive, compassionate care that honors each individual’s unique experiences and challenges. Her goal is to create a supportive, nonjudgmental environment where patients feel empowered to work alongside her in achieving their mental health goals.
Outside of her professional life, Shaheena enjoys exploring new culinary experiences, staying active through exercise, and planning her next travel adventures.
Shaheena currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Clint Nacar

Psychiatric-Mental Health Nurse Practitioner -BC

Clint Nacar, PMHNP-BC is a Board Certified Psychiatric-Mental Health Nurse Practitioner. Mr. Nacar graduated from Charles R. Drew University of Medicine and Science. Currently Mr. Nacar works in an inpatient psychiatry unit at a leading academic medical center in Los Angeles, Renewed Mental Health Group, and Orange Coast Psychiatry
Mr. Nacar brings over 7+ years of experience with the mental health population. He works to help patients take control of their mental health through patient education, psychotherapy and medication management. Mr. Nacar’s areas of focus include: Depression, Anxiety, Adjustment Disorder, Bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), and Post-Traumatic Stress Disorder (PTSD). Mr. Nacar treats children ages 6+, adolescents, and adults, offering both in-person services and telehealth at Renewed Mental Health Group.
With the collaboration of each patient, Mr. Nacar strives to develop individualized plans of care addressing each patient’s unique situation and concerns. He also encourages each patient to take charge of their mental health through a holistic approach while also employing the latest evidence based practices in treatment.

Clint is one of our most experienced Psychiatric-Mental Health Nurse Practitioners at Orange Coast Psychiatry and is 103NP Licensed in the State of California.

Cristian Cuevas

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

Cristian Cuevas, PMHNP-BC, is a highly skilled board-certified psychiatric mental health nurse practitioner with over seven years of experience in inpatient psychiatry and mental health.
A California State University Long Beach graduate, Cristian also earned recognition as a board-certified psychiatric mental health registered nurse. With a wealth of expertise in adult psychiatric care across the lifespan, Cristian has successfully diagnosed and treated a diverse range of mental health disorders.
Additionally, his specialized experience in child and adolescent inpatient populations further enhances his ability to provide comprehensive and compassionate mental health care.
Cristian Cuevas is the Lead Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry and is supervised by Dr Barrios.

Nicole Leonce

Doctor of Nursing Practice & Psychiatric Mental Health Nurse Practitioner-BC

Nicole Leonce is a Board-Certified Psychiatric-Mental Health Nurse Practitioner with over five years of experience in psychiatry and a strong medical background. She earned her Doctor of Nursing Practice degree from the University of San Francisco and is a proud member of the Sigma Theta Tau International Honor Society of Nursing. Nicole has a special emphasis in Trauma-Informed Care and is deeply committed to providing compassionate, patient-centered, and culturally responsive treatment.

Her clinical expertise includes the diagnosis and management of depression, anxiety, bipolar disorder, trauma-related conditions, ADHD, OCD, substance use disorders, and mood disturbances. She also provides care for individuals navigating grief, life transitions, and relationship stressors. Nicole integrates evidence-based approaches such as psychodynamic therapy, motivational interviewing, and solution-focused techniques, along with medication management, to help her clients achieve balance and emotional well-being.

Nicole believes that every patient’s story deserves to be heard and validated. She strives to create a safe and supportive environment where individuals feel empowered to explore their challenges and reach their full potential.

Outside of her practice, Nicole enjoys reading, traveling, exploring museums, cooking, and dining with friends and family. She also loves spending time with her miniature poodle, Nico.

Dr Barrios

Board-Certified Child and Adolescent Psychiatrist

Dr. Carlos Barrios is a Board-Certified Child and Adolescent Psychiatrist with over two decades of experience in mental health care. His expertise in telepsychiatry has allowed him to serve patients across California and beyond. In his practice, Dr Barrios integrates metabolic and functional methodologies, focusing on guiding patients toward medication independence and emphasizing the connection between physical and mental health.
Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.