What separates those who achieve extraordinary success from those who experience more modest results? The answer often lies in a single, powerful force: belief.

Our belief systems shape how we see the world, what we think is possible, and how far we’re willing to go to achieve our goals. Over the years, I’ve observed this fascinating pattern in both my personal journey and through my work with highly successful patients. Now, I’d like to share what I’ve learned with you.

Mindset and Achievement

While arguments can be made for the influence of many factors on success, I’ve been struck by a glaring contrast in success amongst individuals with similar levels of talent and capability. Extreme achievement — or lack thereof — distinctly corresponds with an individual’s inherent, personal belief systems regarding what they’re going to do, how they’re going to do it, what they’re capable of, and what’s out there for them.

Fortunately, belief is an ongoing, ever-evolving, ever-expanding journey rooted in one’s capabilities. Think back to learning to ride a bicycle as a child. Many of us start with a belief that we can’t do it, but through encouragement and support, we develop a new belief about our capabilities. We’re willing to get on the bike and even endure a few bumps and scrapes along the way, all for the thrill and freedom of the ride.

This same principle applies throughout life: You must first believe something is possible before you can achieve it.

How Positive Belief Fosters Success

The bedrock of any achievement is your belief that success is possible. Without this foundational conviction, you’ll never take the first step toward your goal.

Our brains are wired to follow the pathways we believe are open to us. If you don’t think you can succeed, you won’t see, hear, or behave in ways that move you toward the goal.

To some, this might sound like a form of magical, or even delusional, thinking. So, to be clear, I’m not saying you detach from all reality. However, I am saying highly successful, serial-entrepreneurial-type people cultivate a uniquely positive belief system. They believe they can sift and sort through different inputs to determine what to pursue. As events unfold and new information presents itself, they believe they can use that data to make decisions that get them where they want to go.

Of course, not every endeavor works out as intended, but these positive thinkers have a high threshold for failure. They know nine out of 10 ideas won’t pan out, but their belief frees them to explore these ideas and identify the one that will.

In some cases, people with more mature variations of this belief system believe that, with the right information, they’ll eventually achieve something that no one thought possible. These are the innovators, the people who expand their positive belief system to the point that they imagine something completely new.

Graphic #1: The Power of Belief: How Conviction Drives Success, Innovation, and Fulfillment

Innovators vs. Early Adopters

We have a tendency to label anyone introducing something new as an “innovator,” but there’s a distinction between true innovators and early adopters.

True innovators are rare. They’re the ones willing to dream up something entirely new, often without knowing whether it will work. They’re the pioneers who blaze trails, even if those trails at times lead nowhere.

Early adopters, on the other hand, have a unique skill: They recognize innovation early and apply it in ways others haven’t thought of yet. Steve Jobs, for instance, wasn’t necessarily the innovator people often think he was. But he was a masterful early adopter who used the storytelling lessons he learned at Pixar to redefine Apple’s brand and products — and changed the world in the process.

In my own medical practice, people often tell me I have an innovative model. I agree, but I’m not the one who innovated. I simply became an early adopter who recognized a solution to the friction I experienced providing care in the old medical model.

Both innovators and early adopters share an unshakable belief in possibility. Innovators believe they can create something new; early adopters believe they can make it work in the real world. Both roles require optimism, courage, and a willingness to fail, but they manifest in different ways.

Graphic #2: The Power of Belief: How Conviction Drives Success, Innovation, and Fulfillment

Graphic #2: The Power of Belief: How Conviction Drives Success, Innovation, and Fulfillment

The Flip Side: Self-Fulfilling Negative Beliefs

The power of belief works both ways. As Henry Ford purportedly said, “Whether you believe you can or you can’t, you’re right.”

Negative belief systems tend to over-index our innate human biases, like confirmation bias or recency bias. For instance, if you believe you can’t do something, you’re not likely to put forth your best effort. That minimal input then leads to a poor outcome, which further confirms the initial negative belief.

In this way, negative beliefs are a slippery slope that reinforce the negative belief systems they stem from, further moving you down the negative-thinking pathway. Conversely, positive belief systems tend to map toward optimistic thinking. Each reinforces its own starting point.

How Belief Keeps You Going

While believing in what’s possible is the first step, it’s not enough on its own. The real challenge often lies in sustaining belief during the journey. This is where many people falter — not because they don’t think they can succeed, but because they’re not sure the effort is worth it.

Any meaningful endeavor — whether it’s regaining your health after 50, building a multi-million dollar company, or starting over after a 30-year marriage — requires time, energy, risk, and sacrifice. Belief in the worthiness of the outcome has to be strong enough to carry you through the inevitable challenges.

Without this belief, doubt creeps in. You start to wonder if you’re delusional, if the sacrifices are too great, if you’re wasting your time. These moments are pivotal. They test not just your belief in the goal, but your belief in its value.

The people who successfully navigate doubt and weariness have a deep secondary belief in the worthiness of their goal. They believe that if they do the work, the outcome will be worth the sacrifice.

Final Thoughts

Most people who lack meaningful, sustainable success get stuck at one of two points: either the belief in possibility or the belief in worthiness. Success requires both beliefs working in tandem.

I’ve rarely encountered anyone who’s experienced meaningful achievement, fulfillment, or success without maintaining an optimistic outlook. Positive belief propels us to dream bigger, act bolder, and endure longer. Without it, we’re paralyzed by doubt and fear. But with it, we unlock a world of possibilities.

Disclaimer: Content found on the Brentwood MD site is created and/or reviewed by a qualified concierge physcian. We take a lot of care to provide detailed and accurate info for our readers. The blog is only for informational purposes and isn't intended to substitute medical advice from your physician. Only your own physician is familiar with your unique situation and medical history. Please always check with your doctor for all matters about your health before you take any course of action that will affect it.