Why Is It So Difficult For Me To Make Decisions?

Medically reviewed by Arianna Williams, LPC, CCTP
Updated July 22, 2024by BetterHelp Editorial Team

Have you been experiencing difficulty making decisions recently? Most people have some difficulty with decisions from time to time, especially major life choices. However, some people find it difficult to make even minor decisions on an everyday basis, leading them to ask themselves, “Why can’t I make decisions?” While there are many potential causes of or reasons for this type of daily indecisiveness, it could be related to depression or anxiety in some cases. Here, we’ll take a closer look at this connection.

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Do you feel stuck?

The link between depression and trouble making decisions

According to research from 2022, “Indecisiveness is a prevalent and impairing symptom among individuals with major depressive disorder (MDD).”

Clinical depression is one of the most common mental health disorders today. According to the National Institute of Mental Health, approximately 8% of the US adult population experiences depression in a given year. 

One common but lesser-known sign of depression is difficulty making decisions. Some other possible signs of depression include:

  • Feelings of unexplained sadness

  • Loss of interest in favorite activities

  • Withdrawing from friends and family

  • Changes in sleep (sleeping less or more than usual)

  • Agitation or restlessness

  • Fatigue

  • Trouble concentrating

  • Eating less or more than usual

  • Crying episodes

  • Lack of motivation or enthusiasm

  • Suicidal thoughts*

If you are experiencing suicidal thoughts or urges, contact the National Suicide Prevention Lifeline at 988. Support is available 24/7.

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One of the reasons that people with depression sometimes have trouble making decisions may be that they are not as motivated as they used to be as a result of their condition. The reward of making any decision may no longer seem important or enticing, so they may not see an incentive to make a choice at all. Researchers believe that the prefrontal cortex in the brain is impaired when someone experiences clinical depression, and this may cause impaired decision-making ability.

The link between anxiety and trouble making decisions

Anxiety may also contribute to difficulty making decisions. The American Psychological Association defines anxiety as “an emotion characterized by apprehension and somatic symptoms of tension in which an individual anticipates impending danger, catastrophe, or misfortune.” This feeling is a common part of the human experience, but it may represent a diagnosable mental health condition if it’s persistent and interferes with daily life.

If you are experiencing feelings of anxiety or an anxiety disorder, you could experience indecision due to a fear that you will make the wrong decision and therefore might overthink/overanalyze any choice that you make. Researchers suggest that since anxiety involves the fight-or-flight response, it may cause the limbic system in the brain—which is responsible for memory, motivation, and emotional responses—to be overworked. As a result, you might feel a sense of overwhelm with all the possible outcomes of a situation. 

Getting help with decision-making in therapy

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Do you feel stuck?

If you are experiencing symptoms of anxiety or depression, it may help to speak with a licensed therapist. A therapist may use techniques like cognitive behavioral therapy (CBT) to help you learn to recognize and shift negative or inaccurate thoughts. They may also suggest strategies like meditation, which could help you step back from overwhelming thoughts so you can make decisions more easily.

If you feel hesitant to sign up for traditional in-office therapy for any reason, you might consider online therapy instead. With online therapy, you can connect with a licensed therapist via phone, video call, and/or in-app messaging from anywhere you have an internet connection. Research suggests that online and in-person therapy can offer comparable outcomes in many cases.

Counselor reviews

“I put off finding a therapist for a long time. I dreaded my first conversation with Neil and all the awkward, clunky explanations I’d have to give about my depression and anxiety. All of the things that felt like dirty little secrets that caused me so much pain. But I was so pleasantly surprised by the way Neil accurately picked up on what I was saying and gave me more insight into how my brain was working. It made my issue feel so much less of a personal problem and more of a universal problem we could examine together. He always gives me a thoughtful response within a day or two any time I send a message. I actually think we’ve made more progress in between sessions just by being able to communicate things that are coming up in real time. Neil is intelligent and kind. I really appreciate his communication style and highly recommend him.”

“Thanks to Melissa Powell I have come to the realization that I am dealing with depression and anxiety (a hard pill to swallow) and am now working on developing a routine/coping and grounding skills that will assist me in everyday living and in the event of an anxiety attack or a depression episode. Melissa also helped me understand that some days are going to be harder than most and on those days I have to work harder to get the simplest of tasks done and that is ok.”

Takeaway

If you are experiencing difficulty with decision-making, it could be a sign of mental health conditions like anxiety or depression. It may help to speak with a licensed mental health professional who can assess any other symptoms you’re experiencing and possibly provide a diagnosis and/or techniques to help you move forward. Regardless of the cause of your indecisiveness, there may be ways to move forward if you feel stuck. 
Depression is treatable, and you're not alone
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