Why Is It So Hard? I Need Someone To Make A Decision For Me
By Sarah Fader
Updated December 06, 2018
Reviewer Lauren Guilbeault
All day, every day there are decisions to be made. Some are simple and some are difficult. Should I wear black or brown shoes today? What should I eat for lunch? Which movie should I see? Paper or plastic? These may seem silly to some people, but when you are depressed, even making the smallest decision can seem impossible. So, if you are having a hard time making any decision, even the small ones, you may be suffering from clinical depression.
What is Clinical Depression?
Clinical depression is one of the most common mental health disorders there is. In fact, almost 8% of the American population has depression. That is almost 15 million people! Women are twice as likely to have clinical depression as men and the highest rate of depression was found in women between 40 and 59 years of age. One of the most common signs of depression is difficulty making decisions. Some of the other signs of depression are:
- Feelings of unexplained sadness
- Loss of interest in favorite activities
- Withdrawing from friends and family
- Changes in sleep (sleeping less or more than usual)
- Feeling agitated or restless
- Extreme fatigue
- General chronic aches and pains
- Trouble concentrating
- Eating less or more than usual
- Crying episodes
- Lack of motivation or enthusiasm
- Suicidal thoughts
What Causes This Problem?
One of the reasons that people who are depressed have trouble making decisions is because they are not as motivated as they used to be. The reward of making any decision does not seem important, so you basically just do not care one way or the other. Some experts claim that the prefrontal and medial cortex in the brain is impaired when someone is clinically depressed and this causes the impaired decision making ability. One study showed that the process of making decisions is affected by the severity of the depression a person is suffering from. Whatever the reason, there is help for you if you have this problem.
Anxiety May Contribute
Anxiety can be defined as a physiological, behavioral, and psychological reaction occurring at the same time. If you are experiencing anxiety, you may experience worry, fear, isolation, or general worry. You also may experience indecision. You may have fear that you make the wrong decision and overthinking/overanalyze any choice that you make. Seeking help from a therapist is the best option if you feel as though you are experiencing anxiety symptoms. Your therapist will likely work with you using Cognitive Behavioral Therapy or CBT. The crux of this theory is that our cognitions or thoughts contribute to our feelings and thoughts which then impacts our mood, or in this case inability to decide. One aspect of treatment may be to work on changing negative thinking and exploring where the fear of decision making comes from.
What You Can Do
Those who suffer from clinical depression usually do not have the motivation to get help. You may just not want to get out of bed at all. Luckily, there are websites with over two thousand trained and licensed therapists and counselors who can help you with this and you do not even have to leave your bed. All you need is a phone or other electronic device where you can login to one of these sites and you can get therapy right there in bed. Of course, it is not healthy for you to stay in bed all the time but- one step at a time.
Is Online Therapy Effective?
Actually, online depression therapy is very effective and may be the only answer for those who just do not have the motivation to get up and leave the bed, let alone leave the house. One of the best treatments for depression is cognitive behavioral therapy (CBT), which can be done online right from the comfort of your home.
So, you do not even have to get dressed. Of course, if you have severe depression that requires medication you will eventually have to see a psychiatrist in person because they cannot prescribe medication online. However, when it comes to depression and making decisions, you have to take it one step at a time.