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Mental Health · Self

When Making a Decision Feels Impossible

For some people, certain decisions arrive with a paralysis that doesn't seem proportional to what's actually at stake. A question that shouldn't be this hard, where to live, whether to take the job, how to respond to someone, becomes a loop that runs for days or weeks, generating more options, more analysis, and less clarity. The decision doesn't get easier the longer it's worked on. Often it gets harder.

This isn't a failure of intelligence or willpower. What's underneath it looks different from person to person, and the shape of it matters.

What's underneath the difficulty

Decision difficulty usually has a specific source. Sometimes it's perfectionism: the belief that there's a correct answer and that choosing wrong will be permanent and painful. The mind keeps searching for the option that eliminates risk, which doesn't exist, so the search continues indefinitely.

Sometimes it's difficulty tolerating loss. Every choice is a loss of the other options. For people who struggle with permanence and finality, that can make even ordinary decisions feel heavier than they are.

Sometimes it's low self-trust. Someone who has made decisions they deeply regretted, or who grew up being told their judgment was wrong, may have internalized the belief that their own read on things can't be relied on. In that case, more information doesn't help. The problem isn't information. It's the relationship with one's own sense of what's right.

And sometimes, decision difficulty is really about not knowing what one actually wants. Which is its own separate issue, distinct from the decision itself.

Analysis doesn't always help

More information helps with practical, logistical decisions. It makes emotional or values-based decisions harder. The spreadsheet approach to "should I stay in this relationship" or "is this the right city for me" produces more data and less answer, because the relevant information isn't in the data. It's in something harder to access.

There's also a version of extended deliberation that's really just avoidance, a way of not having to choose, and therefore not having to be responsible for the outcome. The discomfort of deciding gets replaced with the slightly more tolerable discomfort of ongoing uncertainty. It's familiar. And it keeps the question open in a way that, for some people, feels safer than closing it.

What the work actually looks like

Getting specific about what the fear is opens up the conversation more than generating more options does. Not the abstract fear of deciding wrong, but the particular thing that actually feels at stake. The fear that "I'll choose wrong and I can't undo it" is a different problem from "I don't know what I want," which is different again from "I'm afraid of what other people will think of the choice I'd naturally make." Each one has a different texture, and the work looks different depending on which one is running things.

Sabrina Rothschild is a Marriage and Family Therapist (MFT) and Certified Recovery Peer Advocate offering telehealth therapy and coaching.