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PTSD And Decision-Making Anxiety

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This is a great thread. I resonate with all this. When I have been stressing or get over tired, I can barely talk...can't decide what to eat so I don't... simple tasks reduce me to tears. God forbid I have to explain a decision. Looking into my brain resembles opening the air lock to deep space. Normally I am very good in emergencies too. But I have noticed that as tapped out as I now am from months of high stress....not so good any more. This cluster of crap we are describing here is the #1 thing I hate about PTSD...the hijacked brain.
 
I have been trying to make a decision over the past couple of days and now I know why I'm struggling. Thanks for this thread and helping me understand what is going on in my brain. Being aware of and staying away from the high stress decisions has been hard, but I've been making progress. Now I have a different less stressful decision to make and I just can't get thru it.
:wall:
BC
 
Hi Bonnecanyon,
I don't know what kind of decision that you are facing, but I've found a couple of techniques that are lifesavers for me.

The first is: routine. I know that I'm not a fashion plate at work. When I find clothing that fits or feels comfortable, I buy several sets. I lay out a week's clothes in advance simply by placing pants/jeans/slacks in a pile, shirts in a pile, (folded, mind you) and just grabbing the next one in the line in the morning. My lunch is done the same way. I eat pretty much the same thing daily with little variation. This might sound incredibly boring to some, but it's actually really soothing to me.

Housework is done the same way. I break things into routines. FlyLady.com saved my life a few years ago with the mailed reminders of which 'zone' I'm in this week. I'm still not pin-neat, but at least I don't have to bar the door to visitors.

Work has a routine. Come in, boot into the computer, check calendar, check voicemail, check e-mail, do small quick routine things fast, break all other large tasks into time blocks. I don't have to think, you see. Not there, at least.

The second thing is: timers. I can't tell when time passes. At all. Even if the meeting is only 10 minutes away I'll miss it. I need that timer. I have a cell phone that I carry with the timers set. I have a 'task timer' that I picked up in a dollar store.


The third thing is: break it into pieces. This is much harder, but I can do it if I'm fresh, had sleep, no one is around, and I get some silence. I take larger tasks and chart them out into pieces. That's hard to explain in a generic way, but for instance, if I have a report on data due, the parts would be: 1) decide the data types I need 2) pull the data from the database 3) pull it into a spreadsheet 4) set pivot points 5) write a short explanatory write-up. From the steps, I can estimate that the time needed for each step is 1) 15 minutes 2) 10 minutes 3) 2 minutes 4) 15 minutes 5) 1 hour (Yeah, 1 hour. When I'm writing for an audience, I write slow.) So the task takes 1:42, and I round that to 2 hours.

Now, during the planning of how to break things into pieces, I tend to get slightly panicky. Not full blown panic, but occasionally I'll run into something that isn't quite cut-and-dried and I'll have to think. The no people around and quiet are key for that. So the planning takes me hours some mornings. Luckily, I'm allowed some flex time, and my work hours are 6:00 am - 2:30 pm these days. That early morning quiet is a blessing. When I hit a point where I'm starting to get panicky because I can't decide, I get up and walk in circles. I go make tea. I lean back, stare at the wall and pant. (Yeah, I have to constantly work on breathing.) I get back to it in a few minutes, but I let myself calm.

I don't know if that helps. But it may help someone else.
 
Quietnow...a lot of your routine mirrors mine. Work and home. In order to be able to function I have to have a lot of the 'sameness of day' happen daily. I open up programs on my work computer in the same order daily. I can't deviate or I have to close everything down and start again. Laying out of clothes, making a menu for evening meals. All in the name of making the decisions when I'm ok instead of when I'm tired and can't hardly think much less make a decision.

If I get panicky at work I get up, walk around, get a drink, visit the ladies room. Anything to work the anxiety out and not feel like I'm going to crawl out of my skin.

Lisa
 
Thank You

Thank you for the orginal post.

I have been having a huge problem with deciding things. I basically cannot make decisions about anything big, where to go on holiday, what job to try and do, that type of thing. It is messing up my life a lot. Until recently I have thought it was me just being me and stupid not something PTSD related.

So Thank you!
 
QuietNOw - thank you so much for this post.

My symptoms are new and scary to me...your descriptions of the feedback loop had me saying, "Yes! Exactly!" Thank you for reminding me to take it slow and not overload myself with decisions, though they always seem to be piling up...every second it feels like there are innumerable decisions to make, and that they all somehow have enormous consequence.

If I decide now about some small thing, how will that process affect my decision about big things? etc. I have found routines to help, something you have reaffirmed. Can you recommend any other resources?

Thank you again.
 
I agree, great thread. This is actually really interesting to me as I am exactly the same as you all described, and just always attributed it to either PMS or my ADD... (its amazing what a boatload of amphetamines in your system allows you to organize, plan and accomplish)

I had never even considered that these almost mundane daily panic attacks could be attributed to PTSD, but holy hell if these don't ring true. I'm at my worst when it involves getting dressed for work, school or (god-forbid) a date with my husband or night out. He gets so frustrated when I go into panic mode just trying to leave the house.

Or else it's like some OCD ritual begins where I sit and go back and forth between making a decision on the smallest of things, and by then I've made myself late.. So then, overwhelmed, I just say screw it all, I won't even go! I've actually missed classes because of this, doctors appointments, etc.

I agree, it's these things that make you feel most crazy, and they only tend to happen during times of high stress.. Thanks for the post!
 
Hi Bonnecanyon,
The first is: routine. I know that I'm not a fashion plate at work. When I find clothing that fits or feels comfortable, I buy several sets. I lay out a week's clothes in advance simply by placing pants/jeans/slacks in a pile, shirts in a pile, (folded, mind you) and just grabbing the next one in the line in the morning.

Wow, I do this type of thing and had no idea that it was a coping mechanism, I just knew if I didn't put my "outfits" together every time I did laundry I would end up staying in my pjs. :)

I put my things away matched up and I just take out the next thing in the pile in my drawer and get dressed. It has made things much easier for me each day.

This is a great thread and I love all the resource material to back up your initial post. Thanks!

SillyMe
 
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