When You Don’t Trust Yourself to Decide: Understanding Anxiety, Doubt, and Overthinking

Have you ever made a decision and then immediately started questioning whether you made the right choice?

Maybe you replay the conversation that led up to it. Maybe you ask other people what they think, hoping their reassurance will finally quiet the uncertainty. Maybe you keep researching, gathering more information, or imagining every possible outcome — believing that if you think about it enough, you’ll finally feel completely confident.

But instead of feeling clearer, you feel more stuck. This is something I hear often from clients who struggle with anxiety, overthinking, or are going through major life changes. 

In my work with clients, I often hear some version of: “I know I’m capable of making decisions, so why does everything suddenly feel so uncertain?”  

woman with hands raised in question and a facial expression showing she is uncertain on what decision to make

The challenge is often not that you don’t know yourself or that you’re incapable of making good decisions. Often, it’s that anxiety and self-doubt make it difficult to trust your own judgment. You may care deeply about making thoughtful choices. You may want to consider how your decisions affect the people you love. You may want to avoid making mistakes or choosing the wrong path.

Those qualities can be strengths. But when uncertainty starts to feel overwhelming, thoughtful reflection can turn into feeling trapped in a cycle of doubt.

Why Anxiety Makes It Hard to Trust Yourself

When anxiety is present, your mind often tries to protect you by looking ahead, anticipating problems, and searching for the safest possible choice. 

This protective pattern can be helpful when you need to prepare for something important. But when your mind keeps searching for certainty in situations where certainty isn’t possible, it can become exhausting.

Many important life decisions involve some level of unknown:

  • Should I make a career change?
  • Is this relationship right for me?
  • Am I making the best choice for my family?
  • What if I regret this decision?
  • What if I make a mistake I can’t fix?

Anxiety often responds by trying to find a guarantee.

You may find yourself thinking:
“How can I know this is definitely the right choice?”
“What if something goes wrong?”
“What if I disappoint someone?”

The problem is that most decisions in life do not come with complete certainty. Waiting until you feel 100% sure can sometimes keep you from moving forward.

Signs Anxiety May Be Affecting Your Decision-Making

When anxiety starts affecting your decisions, it can look different for everyone. You may notice that you:

  • Overthink even relatively small decisions
  • Replay conversations or choices repeatedly
  • Ask others for reassurance before trusting yourself
  • Worry about disappointing people
  • Feel responsible for making the “perfect” choice
  • Keep searching for more information even when you already have enough
  • Second-guess yourself after making decisions
  • Feel mentally exhausted from constantly analyzing possibilities
  • Know what you want, but don’t trust yourself enough to act on it

Sometimes this pattern is confusing because, from the outside, you may appear confident and capable. You may be someone others rely on. You may be successful at work, a supportive friend or partner, or the person who usually figures things out.

But internally, you may feel uncertain, overwhelmed, or disconnected from your own confidence.

When Overthinking Keeps You Stuck

One reason overthinking can be so difficult is that it often feels like problem-solving. 

Your mind may tell you:“If I just think through every possibility, I can prevent something from going wrong.”

The intention behind this is understandable. Your brain is trying to help you feel prepared. But sometimes more thinking does not create more clarity. Instead, it creates more questions.

You may notice yourself:

  • Going over the same information repeatedly
  • Looking for reassurance from others
  • Focusing more on possible problems than what matters most to you
  • Feeling unable to move forward until you have complete confidence

Learning to trust yourself does not mean you will never feel uncertain. It means developing confidence that you can handle what happens next, even when you cannot predict every outcome.

When Reassurance Stops Feeling Reassuring

Many people who struggle with anxiety find themselves looking for reassurance before making a decision. You might ask a friend, partner, or family member what they think — hoping that hearing the “right” answer will finally make you feel certain.

Sometimes reassurance helps temporarily. But if you find yourself needing repeated confirmation before trusting yourself, it can keep you stuck in the cycle of doubt.

Building self-trust means learning that you can seek support while also becoming more comfortable listening to your own judgment.

What If I Make the Wrong Decision?

One of the hardest parts of decision anxiety is the belief that there is one perfect choice, and that making the wrong decision means you failed.

But most decisions are not permanent judgments about who you are.

Life unfolds through choices, adjustments, and new information. Sometimes you learn by moving forward, not by thinking about every possible outcome beforehand.

A helpful question can be: “What choice moves me closer to the life I want, even if I feel uncomfortable or uncertain?”

Instead of asking: “How can I guarantee this will work out?”

You might begin asking: “How can I trust myself to handle whatever happens next?”

Why Major Life Transitions Can Increase Decision Anxiety

Decision-making can become especially difficult during major life transitions, when many parts of your life may feel uncertain at once.

When life changes, the things that once felt familiar may no longer feel as certain. You may find yourself questioning not only what decision to make, but also who you are and what you want moving forward.

This can happen during transitions such as:

  • Career changes
  • Relationship changes
  • Divorce or separation
  • Becoming a parent
  • Empty nest transitions
  • Moving
  • Grief and loss
  • Changes in identity or priorities

During these seasons, you may find yourself asking:
“What do I want now?”
“Who am I becoming?”
“Why don’t I feel as confident as I used to?”

Major life changes often require us to adjust our sense of identity and may leave you questioning who you are and what matters most to you. Changes in your identity during transitions can feel disorienting, but they do not mean you have lost yourself. It may mean you are adapting to a new chapter.

The Connection Between Perfectionism and Self-Doubt

For many people, difficulty making decisions is connected to perfectionism and self-criticism. 

If you believe you should always know the right answer, avoid mistakes, or make choices that keep everyone happy, decisions can begin to feel like a test.

You may feel pressure to:

  • Make the choice everyone approves of
  • Avoid disappointing others
  • Prevent every possible problem
  • Know exactly what you want before taking action

But being thoughtful does not require being perfect.

Sometimes learning to trust yourself means allowing yourself to make a good decision — not necessarily a perfect one.

Understanding the Patterns Behind Your Doubt

When decision-making feels overwhelming, it can be helpful to look beneath the decision itself.

One thing I often explore with clients is whether the decision itself is actually the problem — or whether the decision is bringing up something deeper. 

Sometimes the struggle is connected to:

  • Fear of disappointing others
  • Past experiences where mistakes felt unsafe
  • A pattern of needing approval
  • High expectations you place on yourself
  • Difficulty tolerating uncertainty
  • Losing confidence during a stressful season of life

Therapy can help you slow down and understand these patterns with curiosity rather than judgment. If anxiety, overthinking, or constant worry are making it difficult to trust yourself and move forward, anxiety therapy can provide support in understanding these patterns and developing healthier ways to respond.

Common Questions I Hear From Clients Who Struggle with Decision Anxiety

1. “Why can’t I just make a decision and move on?”

      Many people assume that difficulty making decisions means they are indecisive or don’t know themselves well enough. Often, that isn’t the case. Sometimes the issue is that you are trying so hard to make the right decision that every option starts to feel overwhelming.

      You may be weighing every possible outcome, considering everyone else’s needs, or trying to avoid making a mistake. The decision itself may not be the hardest part — it may be the pressure you feel to get it exactly right.

      2. “What if I make the wrong choice?”

        This is one of the most common fears I hear. Many people believe that making the wrong decision means they have failed, disappointed someone, or created a problem they won’t be able to fix.

        In reality, most decisions are not permanent. Life often requires us to make the best choice we can with the information we have and then adjust along the way. Building self-trust does not mean knowing everything ahead of time. It means believing you can handle what comes next.

        3. “Why do I trust other people’s opinions more than my own?”

          For some people, this pattern develops over time. You may have learned to look outside yourself for reassurance, especially if you have spent years trying to meet expectations, avoid conflict, or make sure others are okay.

          While support and perspective from others can be helpful, constantly needing reassurance can make it harder to build confidence in your own judgment. Learning to trust yourself again is a process and it is something that can be strengthened.

          4. How do I stop second guessing myself?

            Second guessing yourself often comes from trying to eliminate all uncertainty before moving forward. Therapy can help you understand the fears underneath the doubt, build confidence in your own judgment, and learn to make decisions without needing complete certainty first.

            How Therapy Can Help You Rebuild Self-Trust

            In therapy, we explore what is happening underneath the doubt and overthinking. Together, we can work on:

            • Understanding how anxiety influences your thoughts and choices
            • Recognizing patterns of perfectionism or people-pleasing
            • Building confidence in your own decision-making
            • Learning ways to manage uncertainty
            • Reconnecting with your values and what matters most to you

            My approach is collaborative and practical. Therapy is not about someone else telling you what decision to make or giving you the “right” answer. Instead, therapy provides a space to better understand yourself, quiet the noise, and reconnect with your own voice.

            Many clients come to therapy feeling stuck, overwhelmed, or disconnected from their confidence. Over time, they begin developing greater clarity, self-trust, and a stronger sense of who they are.

            You Don’t Have to Have Everything Figured Out

            If you have been stuck in a cycle of overthinking, self-doubt, or questioning your decisions, therapy can help you understand what is contributing to your uncertainty and and reconnect with your confidence.

            You don’t have to wait until you feel completely sure, have everything figured out, or reach a breaking point before asking for support. Therapy can provide a space to slow down, better understand yourself, and rebuild trust in your own judgment.

            I offer online anxiety therapy throughout California, including San Diego and surrounding communities. If you’re wondering whether therapy may be helpful, I invite you to schedule a free 15-minute consultation to see if we’re a good fit.

            Related Resources


            Please note: The examples and situations described in this article are generalized and do not represent any specific client. Any resemblance to actual individuals is purely coincidental.

            Disclaimer: This content is provided for educational and informational purposes only and is not intended to be a substitute for professional medical, psychological, or mental health advice, diagnosis, or treatment. Reading or interacting with this website or its content does not establish a therapist-client relationship.

            If you are experiencing a mental health emergency or believe you may be at risk of harming yourself or others, call 911, go to your nearest emergency department, or call or text the 988 Suicide & Crisis Lifeline by dialing 988.

            Psychotherapy services are provided by Kimberley "Kim" Jones, M.A., LMFT #37708, a California Licensed Marriage and Family Therapist. Therapy services are available only to clients who are physically located in the State of California at the time services are provided.

            About the author

            Kim Jones, LMFT

            Kim Jones, M.A., LMFT, is a California licensed Marriage and Family Therapist with more than 26 years of experience helping adults, teens, and couples navigate anxiety, overthinking, and emotional overwhelm during life's major transitions. She supports clients through major life transitions including relationship changes, college, young adulthood, career changes, parenthood, divorce, empty nest, caregiving, grief, and midlife. Through a warm, collaborative, and evidence-based approach, Kim helps clients reduce emotional overwhelm, build resilience, and gain greater clarity and confidence so they can feel more like themselves again.

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