Overcoming Anxiety and Decision Paralysis in Relationships - Psychiatry

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Anxiety, decision-making difficulties?


Hello, doctor.
I would like to ask you again.
I often fear that I will regret making the wrong decisions, which makes me afraid to decide.
As a result, I find myself overthinking certain issues that I can't seem to resolve (in order to determine which decision I should make).
For example, I don't know how to choose the right partner for myself because I'm afraid that the person I choose may not be the one who is most compatible with me.
I hold a belief that true love is about finding someone who may not be perfect but is the most compatible.
I worry that one day I might realize I've made a wrong decision and regret it.
Consequently, I delve into philosophical questions in search of a reasonable answer to help me make decisions or to trust my choices, such as: How are humans attracted to one another? Is it that our consciousness perceives this person as the most compatible, or is it something else? However, constantly pondering these complex questions often frustrates me and prevents me from living in the moment.
I also came across a statement suggesting that this may stem from a lack of security.
Could it be related to my mother's previous miscarriage, which might have caused some slight congenital issues in my brain (such as insufficient serotonin secretion)? Doctor, how can I improve this situation?

Niming, 20~29 year old female. Ask Date: 2019/01/29

Dr. Liu Shikai reply Psychiatry


Hello, I see that you are troubled by many questions in your heart, and the answers you seek often do not have simple solutions (for example, how to find a perfect partner without regrets).
In fact, most things in our lives do not have perfect answers; there are only acceptable answers or results we must reluctantly accept.
Often, despite our best efforts, we cannot have everything go our way.
While anxiety can indeed have a physiological basis, pondering whether it relates to your mother's previous miscarriage is unlikely to be helpful.
I suggest that if you want to improve your current cognitive difficulties and anxiety, you should seek help from a psychosomatic or psychiatric specialist.
Collaborating with healthcare professionals can lead to more effective ways of thinking and methods to manage anxiety.
Wishing you clarity and peace of mind!

Reply Date: 2019/01/29

More Info


Navigating anxiety and decision paralysis in relationships can be a complex and emotionally taxing experience. It’s commendable that you’re seeking to understand your feelings and behaviors better. Your concerns about making the right choices in relationships, particularly regarding finding a compatible partner, are common and can stem from various psychological factors.

Firstly, it’s essential to recognize that the fear of making the wrong decision is a prevalent issue known as "decision paralysis." This phenomenon often arises from the pressure to make the "perfect" choice, which can lead to overthinking and anxiety. The belief that one must find a partner who is not just good but "the best" can create an unrealistic standard, leading to feelings of inadequacy and fear of regret. This mindset can prevent you from enjoying the present moment and forming meaningful connections.

One approach to overcoming this anxiety is to shift your perspective on decision-making. Instead of viewing choices as binary (right or wrong), consider them as opportunities for growth and learning. Every relationship, regardless of its outcome, can teach you something valuable about yourself and what you desire in a partner. Embracing this mindset can alleviate some of the pressure you feel when faced with decisions.

Additionally, it’s crucial to address the underlying feelings of insecurity that may be contributing to your anxiety. You mentioned a potential link to your mother’s past experiences, such as a miscarriage, which could have influenced your emotional development. While it’s challenging to pinpoint the exact causes of anxiety and insecurity, it’s essential to understand that these feelings can be shaped by various factors, including childhood experiences, attachment styles, and even biological predispositions.

To improve your situation, consider the following strategies:
1. Mindfulness and Presence: Practice mindfulness techniques to help you stay grounded in the present moment. This can include meditation, deep breathing exercises, or simply taking a moment to observe your surroundings. Mindfulness can reduce anxiety and help you focus on what truly matters in your relationships.

2. Limit Overthinking: Set time limits for decision-making. Allow yourself a specific period to weigh your options, and then commit to a choice. This can help prevent you from spiraling into endless analysis.

3. Seek Professional Guidance: If your anxiety feels overwhelming, consider speaking with a mental health professional. Therapy can provide you with tools to manage anxiety, explore your feelings about relationships, and work through any underlying issues related to self-worth and decision-making.

4. Build Self-Confidence: Engage in activities that boost your self-esteem and reinforce your sense of identity. This could be pursuing hobbies, setting personal goals, or surrounding yourself with supportive friends who affirm your worth.

5. Challenge Perfectionism: Recognize that no one is perfect, and the idea of a "perfect partner" is a myth. Focus on finding someone who aligns with your values and complements your life rather than striving for an unattainable ideal.

6. Develop a Support System: Share your feelings with trusted friends or family members. Sometimes, discussing your concerns can provide clarity and reassurance, helping you feel less isolated in your experiences.

In conclusion, overcoming anxiety and decision paralysis in relationships is a journey that requires patience and self-compassion. By reframing your approach to decision-making, addressing underlying insecurities, and seeking support, you can cultivate a healthier relationship with yourself and others. Remember, it’s okay to make mistakes; they are part of the learning process that ultimately leads to personal growth and deeper connections.

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