In the current article I'm discussing how trauma can affect decision-making.
What Are Some of the Psychological Factors For Fear of Making Decisions?
If you have this problem with making decisions, it's important to start with compassion.
It's important to look beyond the surface with compassion so you won't be so hard on yourself.
In general, every person who has problems making decisions is unique and has their own set of psychological factors related to decision-making.
Here are some of the most common factors:
- Pessimism and Fear of Change: A negative or pessimistic perspective can lead to only focusing on the potential downside to every possible decision.
- Insecurity: Personal insecurities can lead to someone having difficulty with potential decisions.
- A Problem Solving Identity: Some people like to see themselves as problem solvers for themselves and for others. This helps them to feel useful and needed. However, it can also become a crutch to avoid making decisions.
- Cognitive Dissonance: Some people experience an internal conflict when faced with solutions that challenge their beliefs. This can lead to their challenging every possible solution offered to them to maintain a sense of internal consistency (see my article: Understanding the Negative Impact of Cognitive Dissonance).
Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates how a particular type of trauma, intergenerational trauma, an affect making decisions:
Liz
When her boyfriend, Ray, recommended that she seek help in therapy, Liz wasn't open to the idea at first. But when he talked to her about the many times she approached her problems with pessimism and fear of change, she realized she had a problem, so she sought help in therapy.
When her therapist asked Liz about her family history, Liz revealed that both of her parents had problems making decisions because they usually feared the worst possible outcome.
Both of Liz's parents experienced intergenerational related to severe poverty. So, even though her parents were now financially secure, whenever they had to make any decision about money, they approached the decision making process with pessimism, anxiety and dread (see my article: What is Intergenerational Trauma?).
The smallest financial decision created so much anxiety that they would find a problem with any possible decision. This lead to procrastination so they made decisions at the last possible moment. This often lead to poor choices in many cases because they weren't able to think about the choices calmly so they made last minute decisions in haste.
Even as a young child, Liz understood that her parents' anxiety and dread were misplaced. She knew that, unlike earlier generations, both of her parents were in high paying professions and they could relax more about money.
But even though Liz understood it logically, on an emotional level, she took in her parents' fears and anxiety on an unconscious level.
This created problems between Liz and Ray because whenever they were faced with certain decisions related to spending money, like whether to buy new furniture or whether they could afford to go on vacation, Liz had so much anxiety that she couldn't make a decision.
Logically, Liz knew she and Ray could afford the furniture and a vacation, but whenever he proposed various options, she found reasons to reject everything he proposed. She couldn't understand why she couldn't reconcile her logical thoughts with her emotions.
After hearing about her family history, Liz's therapist provided her with psychoeducation about intergenerational trauma.
Although Liz wasn't happy to hear that she was traumatized, her therapist's explanation made sense to her, especially when she heard about the symptoms.
Some of the symptoms of intergenerational trauma resonated with her, including:
- Persistent anxiety
- Hypervigilance (a constant state of high alert or feeling a sense of threat)
- Problems with emotional regulation
Liz's therapist worked with her to prepare her to do trauma therapy. Since Liz's anxiety was so high, she needed several months of preparation and stabilization before they could start processing her trauma in trauma therapy.
Part of the preparation involved developing self compassion and better coping skills.
When her therapist assessed Liz was ready to work through her trauma, they did a combination of IFS Parts Work Therapy, Somatic Experiencing and EMDR Therapy over a period of several months.
Whenever they discovered an emotional block in the trauma therapy, her therapist used Imaginal Interweaves to help Liz overcome the block (see my article: What Are Imaginal Interweaves in Trauma Therapy?).
Even though the work took over a year until Liz worked through her trauma, she felt incremental relief along the way.
Over time, Liz experienced her emotions as being more in synch with her logical understanding. She was able to modify her emotions and behavior to make decisions without anxiety, pessimism or fear of change.
Whenever she considered possible solutions to problems, she was able to consider each options and make a decision without finding problems with every solution.
Trauma therapy enabled Liz to free herself from a history of intergenerational trauma.
Conclusion
If you have unresolved trauma, a good place to start is developing self awareness and compassion.
Most people don't want to create problems for themselves and others when they're trying to solve problems or make decisions, so there's usually a coherent reason.
If the reason isn't apparent, it's often unconscious (see my article: Making the Unconscious Conscious).
A skilled mental health professional who is trained as a trauma therapist can help you to identify the psychological factors involved and work through the problems (see my article: What is a Trauma Therapist?).
If the problems are related to trauma, seeking help from a psychotherapist who is a trauma therapist can help you to overcome the trauma so you can lead a more fulfilling life free from your history of trauma.
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.
As a trauma therapist, I have helped many individual adults and couples to work through trauma.
To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.
To set up a consultation, call me at (917) 742-2624 during business hours or email me.


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