The response of many people to societal demands to be "confident," is to rush around doing constructive, visible things that can give us a sense that we have done what a "confident" person would, or that we've been noticed by others and praised, or that we can compare ourselves to others and feel somehow better than they are. This temporary ego inflation may make us feel good for a while, but it doesn't last. We end up in a cycle of ups and downs that is not only exhausting, but emotionally damaging as well. Ultimately it makes us fundamentally unhappy.
One result of this damaging cycle are the innumerable clients who believe that they are "not good enough."