You're responfing to your own post "has inspired her". I respond to it.
I'd say you were describing me. But to my knowledge, we have never yet met. I don't know about the "faking it" internal identification of self, but I can cop to the constant fear of failure and not reacing a potential that I had identified for myself, as there was a limited capacity in my family for others to identify such. They have been caught in their own mental cobwebs, though I hope I have at least managed to help my mother to help herself break out.
I would hypothesize though, that when my father told me that the school was suggesting to him that I skip a grade 3rd, 4th, 5th, I don't recall now, too long, too far under the bridge, that if he hadn't let me make the choice, if I hadn't selected to stay put, I might have been held up to hightened expectations and most likely developed the "fakin it" model in my mind, asa it worked out, I stayed put in my excluded, heavily picked on existance in grade school and ended up with more of a "classic underachiever" model for myself instead.
But I can say with confidence ( and I rarely bestow confidence on conclusions or information, or often, even people ) with confidence that you are not alone. It is the price paid by those who don't just live, but ARE (by their "nature" ) out on the edge, with no one to cling to as a common community, and no one to follow into the "undiscovered countries" of understanding, learning, and life.
At some point, I learned to chuck it all and just assume I am THAT, and can do IT, and if I am faking it, then so is EVERYONE and so, who is to say Boo?
My unhappiness is that, after concluding that helping others in REAL, long term ways, is the only value in living, I have not seen a path to do so. I keep seeing shortcomings in fields of work "5 miles down the road" and bail rather than dedicate. I desire to become the "arrow that has sprung forth from the bow" but, alas, I am begining to suspect that is not an option in this reality. At least you are in medicine, Deaded. I would have chosen education if I had been in a decent position to pursue it when the opportunity was present.