Depression and Decision Fatigue: Why Even Small Choices Feel Impossible

Ever found yourself staring at a menu and feeling like you might cry? Or putting off something as simple as choosing what shirt to wear? If you live with depression, this might be a daily struggle.

Decision fatigue is not just being “bad at decisions.” It is the mental exhaustion that sets in when even simple choices feel like monumental tasks. For people with depression, this challenge is magnified, leaving them frozen, frustrated, or overwhelmed.

The Science Behind It

Your brain is wired to make thousands of decisions every day, big and small. Normally, it uses efficient shortcuts to simplify choices. But when you are battling depression, those shortcuts break down.

Depression disrupts the brain’s reward system. The motivation center goes quiet, making every choice seem equally dull or pointless. Add to that a tendency toward rumination, where thoughts loop endlessly, and you get paralysis instead of progress.

Another factor is reduced cognitive energy. Depression drains mental resources, so your brain tires faster. Imagine trying to run a marathon without food or sleep. That is how your brain feels when forced to decide something in the middle of a depressive episode.

Why It Feels So Heavy

It is not just the act of choosing. It is the weight of the consequences that depression convinces you are monumental.

People with depression often fear making the “wrong” choice and catastrophize possible outcomes. Even deciding what to eat might spiral into worries about health, money, or self-worth.

Choices that once felt automatic now require exhaustive analysis. This cycle deepens the fatigue and fuels avoidance, which then worsens depression.

Breaking the Cycle

The good news is you do not have to stay stuck in decision fatigue. Small, compassionate shifts in your daily approach can help.

Limit Your Options

Too many choices can be overwhelming. Simplify your life by reducing decisions where you can.

  • Meal plan in advance.
  • Lay out clothes the night before.
  • Rotate simple, predictable meals or routines.

Fewer choices mean less energy spent deciding.

Use “Good Enough” Thinking

Perfectionism often drives decision paralysis. Practice choosing what is “good enough” instead of perfect.

Remind yourself that most daily decisions are low-stakes. It is okay to pick the quicker, easier option and move on.

Rely on Routines

Routines automate choices so your brain does not have to work as hard.

  • Wake up and bedtime rituals
  • Standard work or study blocks
  • Built-in relaxation time

The more your day runs on rails, the fewer micro-decisions drain you.

Write It Down

Journaling or making lists can help un-jumble thoughts. Seeing your options on paper makes them more manageable.

Even listing pros and cons can bring clarity to bigger decisions without spiraling.

Ask for Help

You do not have to carry every choice alone. Lean on friends, family, or therapists.

Saying “I’m struggling to choose” is not a weakness. It is honesty. Others can offer perspective or share the burden of decision-making.

Giving Yourself Permission to Pause

It is okay if you cannot decide right now. Giving yourself permission to rest instead of forcing a choice can be a relief.

Depression tells you you are lazy or incapable of needing breaks. The truth is your brain is working overtime just to function. Pausing is not failing. It is caring for yourself.

Embracing Compassionate Change

Decision fatigue with depression is real. It is not about willpower or laziness. It is a brain running on empty, trying to keep you safe.

By understanding why decisions feel impossible and adopting gentle strategies to simplify them, you can reclaim small victories. These moments of ease and clarity add up, helping you move through the fog of depression one choice at a time.

If you find yourself stuck in cycles of avoidance or overwhelm, consider reaching out for professional support. No one needs to navigate this alone. You deserve help, hope, and the freedom to choose your own path forward.

Stay Active During COVID-19 with BrainStim Centers

COVID-19 took us all by surprise and has definitely kept us under the unknown for way too long. For many of us, staying at home means giving up on a daily routine. With fitness centers such as yoga and Pilates studios closed, we have had to adapt to a new normal.

Why should I care and keep my body moving?

Working out is not only about physical appearance or feeling strong. Working out helps to decrease stress hormones like cortisol and epinephrine in our bodies. After a workout, your body’s chemical balance will positively change leaving you feeling relaxed and happy.

Moreover, working out has similar effects as antidepressant medication. The purpose of antidepressants is to increase the amount of serotonin—your happy hormone. Working out can also help manage anxiety and panic attacks. The American Psychological Association (APA) states that physical stress during working out mirrors those attacks. The more you work out, the better your response will be during those overwhelming moments. According to the APA, it has been proven that at least 30 minutes a day of any type of physical activity can make a huge difference and increase the amount of serotonin in your body!

What can I do when my gym is closed?

Gym closures don’t mean we can’t work out anymore. There are numerous physical activities to choose from such as walking, bike riding, dancing, hiking, yoga, Pilates…you name it! You can stay active outside of your house, get some fresh air, and go for a walk or hike. If you prefer to stay indoors, YouTube has a great selection for at-home workouts or you can find workout applications for any smart device. We recommend checking out Pamela Reif for workout videos and Yoga with Adriene on YouTube. These two women can change your life and you don’t even need to leave your living room!

Here at BrainStim Centers, we offer free classes via Zoom. Join us for one of our Zumba, Meditation, Yoga, or Pilates classes. This is a great opportunity to explore new outlets to help manage any stressors you may be facing.

Our upcoming Zoom classes are:

Monday, November 30 -Zumba with Dario at 7 pm

Monday, December 14- Breathwork & Meditation with Wendy Hassenpflug 7 pm

Tuesday, December 29- Pilates with Cristina 11:30 am

Send an email request to info@brainstimcenters.com to receive a link to our zoom classes.

Non-invasive Ways to Treat Depression and Anxiety

Medication is not the only answer in treating depression and anxiety. In fact, many antidepressants do not work or leave people with multiple side effects. The best option is to combine medication with non-invasive treatments, or if possible, to eliminate medications altogether.

Fundamentally, depression and anxiety are linked to the human brain. The human brain is built of billions of neurons doing multiple tasks at the same time. These neurons receive and fire signals from different parts of our body to our brain and back. Unfortunately, if some parts of our brain are less active than others, the brain will not send and receive the signals it is meant to. Research has shown that the part of the brain responsible for depression and anxiety is the prefrontal cortex. It is believed that by stimulating the brain, our body will start producing serotonin. Serotonin is the main hormone linked to depression and anxiety. If our body has enough serotonin our mood will be uplifted.

How to increase the serotonin levels by non-invasive methods?

 

  1. Transcranial Magnetic Stimulation (TMS): TMS is one of the best methods to stimulate the exact part of the brain responsible for serotonin production- the Dorsal Lateral Prefrontal Cortex (DLPFC). TMS therapy should be repeated for about 36 sessions which will leave the patient with significant mood improvements. TMS doesn’t hurt, the sessions are short, and have very little to no side effects. The most common side effect is headache during the treatment.
  2. Working out: regular exercise reduces the levels of stress hormones such as cortisol and epinephrine. As a consequence, our body is more relaxed and our minds are more focused. Regular workouts are linked to memory and concentration improvement, as well as being better equipped to deal with depression, anxiety, and panic attacks.
  3. Meditation: just like working out, meditation helps with balancing the stress hormones in our body. Moreover, by learning how to meditate, we learn how to put our body in a relaxation stage, accept everything that is going on in our body and brain, and release those stressors.
  4. Breathing: breath control is a key component in reducing stress. Learning how to take deep breaths from your belly helps to reduce feeling stressed, overwhelmed, and anxious.
  5. Good diet: what you eat has a huge impact on how you feel. Foods such as fruits and vegetables, whole grains, unsweetened dairy products, and spices such as turmeric and cinnamon will improve your overall mood. Moreover, nuts, seeds, and olive oil can improve your brain work.

As you can see there are many ways that your mood can be uplifted without medication. Call us at 310.895.7122 if you would like to learn more about TMS. Our team will walk you through the process and create a plan of action best for your healthcare needs.