Kilduff adds that someone with OCD may avoid making a decision altogether or avoid it until a circumstance forces them to make a decision, meaning that the person can feel free from responsibility for it. This is when someone avoids making a decision to prevent the anxiety caused by the uncertainty of the outcome. Let’s take a moment to familiarize ourselves with some specific compulsions people with OCD use to cope with the distress and uncertainty associated with making decisions.Īvoidance: A very common compulsion is avoidance. ![]() Let’s explore what these compulsions might look like, and why they make decision making harder. Kilduff adds that a range of compulsions caused by the distress and anxiety about making a choice can further exacerbate the problem and make it even harder to make a decision. Of course, no one wants to make the wrong choice, but for people with OCD, the need for an impossible degree of certainty can short-circuit the ability to make a choice, resulting in something known as decision paralysis. OCD often demands 100% certainty that the decision you’re making is the right one, and inflates the risk posed by making the wrong decision. “In the case of religious or scrupulosity OCD, for example, it could mean making the best value decision or the decision that will make God happy.” “It all comes down to wanting to make the good decision, the right decision,” explains NOCD Clinical Trainer April Kilduff, MA, LCPC, LMHC. This distress intolerance can make it hard to make decisions, as the fear of making the wrong choice can feel overwhelming. “Distress intolerance” refers to the difficulty people with OCD have in tolerating anxiety and uncertainty, and it’s a key feature of OCD. These thoughts can make it hard for people to make decisions, as they may feel overwhelmed by the distress and anxiety they cause. OCD is characterized by obsessive thoughts that are intrusive and often irrational. We’ll round things out by detailing a treatment intervention that’s highly effective in treating OCD and is now more accessible than ever. We’ll explore how OCD affects decision-making, the kinds of compulsions making decisions can provoke, and the types of decisions that tend to be affected. In this article, we’ll discuss how OCD can make it difficult for people with the condition to make decisions. ![]() It can feel like having a committee of anxious voices in your head, each one weighing in on every decision. The constant need for perfection and the fear of making the wrong choice can lead to endless cycles of overthinking. But for millions of people with Obsessive-Compulsive Disorder (OCD), making any choice can feel like a daunting, sometimes impossible task. From choosing what to wear in the morning to picking what to eat for dinner, decision-making is a part of everyone’s daily routine.
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