Why Can’t I Make Decisions?

Medically reviewed by Arianna Williams, LPC, CCTP and Corey Pitts, MA, LCMHC, LCAS, CCS
Updated December 18, 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. 

Why can’t I make decisions? Signs of depression

Some other possible signs of depression include:

Loss of interest in favorite activities due to self-doubt

This happens when you are constantly second-guessing yourself which affects your ability to make decisions.

Feelings of unexplained sadness leading to anxiety

You suddenly find yourself feeling sad and anxious over various situations, making it impossible to make a choice.  

Withdrawing from friends and family due to heightened uncertainty

A person who is depressed may find social interaction to be overwhelming due to self-doubt and uncertainty. It doesn’t mean a person is anti-social. It could reflect the fear of handling situations that require decision-making.

Changes in sleep (sleeping less or more than usual)

A change in your sleeping patterns could be a sign of depression.

Agitation or restlessness when faced with several options

A depressed person might easily feel overwhelmed when confronted with several options due to fear of making a choice.

Mental exhaustion or fatigue

Depression may cause you to feel helpless and mentally tired as you constantly dwell on worries and uncertainties in life.

Trouble concentrating when making choices

You may find it hard to focus on evaluating your choices for fear that your decision could be wrong.

Eating less or more than usual due to indecisiveness

Eating less than usual can be a sign that a person is depressed. The lack of appetite could be triggered by anxiety and indecisiveness.

Crying episodes

Crying episodes could be a sign of internal struggle due to the pressures related to decision-making.

Lack of motivation or enthusiasm

Lack of motivation to do a certain thing is a common symptom of depression. A person may feel fatigued and low in energy leading to a distorted outlook in life.

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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Reasons for difficulty in making life choices

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.

"Highly recommend Tom’s approach to therapy. He challenges your perspective in a respective and productive manner while allowing you to make your own decisions. If you decision isn’t the best, he will let you know but also won’t push his own beliefs in your either."
— BetterHelp member’s review of their therapist

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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