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Depression & Decision-Making

By Donna-1 Friday, March 30, 2012

Does depression interfere with your ability to make decisions? I have a terrible time settling on any one answer when making a decision. Yes, I will do it. No, I can't. But I have to. I am an adult and can make up my own mind. I wish someone would just make the decision for me. I refuse to even think about it until the deadline is passed and thereby avoid a decision. I ought to do it. What will happen if I don't do it? Will I be forgiven if I back out at the last minute?

 

I rarely blindly jump into anything, in other words. And often, the decision is not something life-altering and does not have major consequences. It really doesn’t matter.

 

One contributing factor is: depression and antidepressants leave me so fatigued I don't know if I'll have the energy to go anywhere at a certain time or place. Especially if it's scheduled for the evening. So I hate to say yes or no. There’s nothing worse than trying to sit through a symphony or a conversation when you can’t keep your eyes open.

 

Another factor: fortune telling. If I go, I’ll hate it. I’ll end up the wall-flower. They won’t have anything I want to eat. So-and-so will be there and ruin the evening. Rarely do I predict that Prince Charming will sweep me off my feet or even that I’ll feel comfortable being there.

 

Factor number three: Depression is very painful. It infuses every part of my being, including my outlook, the way I dress, the speed at which I think, and even my personal hygiene at times. The pain can certainly influence decisions in a dramatic way. In my case, stability is a priority. Avoiding pain is a part of maintaining that stability. Only do what is “safe”. Willingness to go just so far and no further for fear of disturbing that hornet’s nest of pain. Pain of the past, pain of perceived failures, the phantom pain of losses caused by depression. The fear that a decision will bring depression swarming out of that nest and it will overwhelm me again. More painful stings. I think depression heightens my perception of pain. Strange, because it actually seems to numb me at the same time.

 

With depression, I become less and less able to see things clearly -- as they were and as they are. I think a big part of recovery an being able to make decisions is regaining a distance between the fatigue, the importune clairvoyance, the interpretation-via-pain. Being able to separate myself from the result of a decision and accept whatever happens and move on. To say yes, I may make a fool of myself. Yes, I may make a bad decision. Yes, I or someone I love could get hurt. But also I may find out that this man I’ve been putting off really cares. No, Mother doesn’t always need to get her way. I am a unique individual and am only human, but I can succeed with planning and courage.

 

Lastly, depression keeps me from seeing that I’m worthwhile as a person. If I’m not worthwhile, then my decisions don’t count. They don’t matter. Who cares if the answer is yes or no. Who cares if I show up or not. Do I even care myself?

3/30/12 11:06pm

Yes, Donna, I share this challenge. 

 

Decisions are very difficult many times.  Not all decisions. And not all of the time.   Some I guess are very easy. But some are 'crazy difficult'! (extremely difficult)

 

Like, where to go that makes me feel good.  I know where that is and go there, the mountains, desert,  nature anywhere, anywhere quiet.  But it wasn't until I got sick and had this horrific pain that I began to follow this adamently....my body just finally said a little louder than ever before, listen please!  keep me in quiet, low stress, low key places please!  This is where I feel good!  I don't feel good in loud, crowded places!  Don't take me to the mall please!

 

 

Money decisions are very hard. 

 

 

Now I shop at thrift stores and really try not to shop much.  I am trying to become more frugal.  Recycle, repair, make homemade stuff and stuff from nature as much as possible.

 

In my closet though, still hangs my $400 black wool jacket from 'Italy' from some probably very fine shop there...that back then...15 years ago...I felt somehow...I was supposed to choose that way...influenced by family and society I think...

 

It makes me cringe still thinking of how I felt back then and that I shopped at ...what is that store....oh, Ann Taylor...well, always the outlets....but still...anyway....I just realized, the me inside was wanting to be on the mountain instead of in Ann Taylor stores...just little things that I began to feel inside me...and now it is easier...I know....the 'real me' does not value expensive things and looking sheik ....

 

I value helping others, living frugally and simply ....and giving to others more...

 

well, I don't want to put anyone down...just for me...I realized inside, my insides felt very bad buying expensive things...it just was not 'me'.

 

 

 

'career/livelihood decision has been 'crazy hard'

 

 

It was very difficult to pick cats...when I finally did, I was tired of my not making a decision and picked in two seconds, just two kittens...not having spent hardly any time that day......just impulse to hurry up finally and get a cat/s.

 

 

My precious darling Emma is laying under my chair with her paws up against my toes....and it calms me down like not much else...I am afraid like she is probably in the back of our minds, that soon, Burt will be at the door pawing and meowing to be let in....he seems to do it EVERY time I am enjoying being with Emma and she is happy, enjoying being with me...

 

back to the topic...

 

 

So some decisions are crazy difficult.  Deciding what to do now about my precious darlings, my kittens, is crazy difficult.  My heart is torn as you can read above..

 

I really see it is not ALL decisions...some just come very easily and I make them with ease.  I think, maybe I will examine which are which...which are the hard ones, and which are in the category that come easily...to explore it...

 

Easy is to stay away from loud places.  By body decided that a few years ago.  No choice...pain says no.  I think the body does know things...the book, The Body Doesn't Lie is interesting....

 

I am on my rambling kick....let's hope Marishka reigns it in!

 

Anyway, I agree, many  decisions still seemcrazy hard for me!

 

have a good night . ...:) 

 

may we trust more in our inner voices and selves!

 

I need to stop here even though my mind is thinking of a million things to write...I can see my rambling mood is beginning...

3/31/12 6:03pm

I have the same sort of problems making decision- big and small. Small ones are hard because it usually means that I am having to choose what is best for me or for somebody else- "Do I want taco bell, or wendy's?" when I know my husband loves taco bell, but has left it to me to choose. "Will I help a student at lunch with his paper, when I desperately need some time to take a breath and relax"?

 

Big decisions are made and then I immedietly start second guessing myself. I long for the hoped for outcome of the decision, but all I can think is what if it turns out bad and I regret making the decision. So, I too will wait. Maybe it will turn out okay without a decision, or maybe someone else will step up and make it.

 

Part of the problem with my decision making process is that I tend to go by my feelings. It feels right. It looks good. I want it. I get it. I start to question it. My doubt makes me feel like it was a wrong decision. I try to rationalize why it was ok to do it. I regret it. I feel guilty. I don't enjoy it. I run away from it so I can feel better. Then.... I regret my decision to go back on my decision. Now  nothing feels right. I look to others to help me, but it is still up to me to decide.

 

I try to avoid making decisions. Problem with that, though, is you begin to lose control of your life.

3/31/12 8:31pm

My sentiments exactly.

4/ 1/12 7:42am

mine too, well said :)

4/ 2/12 4:42pm

Hi Donna

 

I think many of us who have depression can relate to what you are saying.  Decisions...however small or large...can be extremely difficult when you are struggling.  I attribute it to this...if you are used to dealing with crises much of the time...you develop skills for handling such circumstances where the choices are limited and you must react.  However...making choices on our own where there is crisis means that we have to slow down...and weigh our choices...and be responsible for the outcome.  Sometimes I think, "So many bad things have happened to me I don't want to risk having something bad happen from my decisions."  It is that fear of failing or doing the wrong thing that keeps some people from risking.  But if you don't make decisions then this becomes a decision or choice in itself.

 

It is a trust in oneself that...hey...I can deal with the consequences of my actions. 

 

One thing to remember is that nothing is necessarily "bad" or "good" until we reflect upon it and make that judgement. 

 

Are there any upcoming decisions that you are particularly worried about right now?

 

Great topic for exploration...thanks for writing.

 

MM

 

 

4/ 3/12 2:25am

Honestly, I went for a physical last week and hemoglobin was 9.8 which signals moderate anemia.  My doc sent me to a gastro-doc and he wanted to set me up for a upper and lower endoscopy.  I chickened out of doing this last year, so I thought seriously about this year since the anemia is worse.   I feel so fatigued all the time and have had a lot of abdominal pain the last year and a half, I decided to go ahead and have it done next Tuesday afternoon.  Now that I've  made the decision, it is less scary.  And an ex-boyfriend asked if he could take me so we could catch up on old times, which may actually may make this all worthwhile! 

 

My doc also diagnosed me with asthma -- that's why I am coughing a lot.  But they still haven't figured out the itching and anxiety attacks or insomnia (I'm writing this at 1:15am cst.)

 

If they were to ask me...ha!...I'd think it was the last medication that I started that has thrown my body off.  But I mentioned it and I have yet to find a doctor who agrees that medication can cause side effects.  When they hear hoofbeats they always look for zebras instead of horses.

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By Donna-1— Last Modified: 04/03/12, First Published: 03/30/12