NoRush

ADHD guide

ADHD decision paralysis: how to choose what to do first

Ten tasks, all of them shouting. Picking one feels impossible, so you pick none. The answer is fewer choices, made earlier, or made for you.

The short answer

Decision paralysis is getting stuck on choosing. With ADHD it usually shows up as a long list where everything feels equally urgent. What helps is cutting the number of options, deciding ahead of time when your head is clear, and using a simple rule or even chance when nothing stands out.

Why choosing is so costly

More options do not make choosing easier. In a classic set of experiments, people given many options were less likely to choose at all than people given a few.1 A to-do list of thirty items is a shelf of thirty jams.

Comparing options uses working memory: you have to hold each one in mind, with its deadline and its effort, at the same time. Adults with ADHD tend to have less working memory to spare.2

Standard advice says "do the most important thing first". But with ADHD, importance does not create the pull to start. Interest, novelty and urgency do. So the list is sorted by a rule your brain does not run on.

What it looks like

  • Reading the list over and over without starting.
  • Rearranging priorities as a way of not choosing.
  • Picking the easiest or newest thing, then feeling bad about it.
  • Doing nothing because doing the "wrong" task feels worse.

What helps

  1. Never choose from the whole list.

    Pull three to five tasks into a separate "today" list and hide the rest. Now you are choosing among few.

  2. Decide when deciding is cheap.

    Pick tomorrow's first task tonight, or in a two-minute plan each morning. The you at 9 AM has more to spend than the you at 3 PM.

  3. Use a default rule.

    For example: "If something is due today, that. Otherwise, the shortest task." A rule removes the decision.

  4. Let chance choose.

    Roll a die or draw a card. If your reaction is "no, not that one", you have just learned what you wanted to do.

  5. Set a timer for the decision.

    Two minutes to choose. When it rings, go with the one in front of you.

  6. Aim for good enough.

    For most daily tasks, the order barely matters. Starting any of them beats ranking all of them.

Advice that tends to backfire

  • Elaborate priority systems. Four quadrants, five colors and three tags turn one decision into twelve.
  • Keeping everything on one visible list. If you can see it, you will try to weigh it.
  • Treating a wrong pick as a failure. You can switch. Very few task choices are permanent.

How NoRush helps with decision paralysis

We make NoRush, so weigh this part with that in mind. The strategies above need nothing more than paper and a timer. This is how NoRush builds them in for decision paralysis:

Questions people ask

Is decision paralysis part of ADHD?

It is not a diagnostic symptom, but it follows from things that are: trouble organizing and prioritizing, and limits on working memory. Many people with ADHD describe it.

How is it different from task paralysis?

Decision paralysis is being stuck on which task. Task paralysis is being stuck on starting the one you chose. They often come together.

Sources

  1. Iyengar SS, Lepper MR (2000). When choice is demotivating: can one desire too much of a good thing?. Journal of Personality and Social Psychology, 79(6).
  2. Alderson RM, Kasper LJ, Hudec KL, Patros CH (2013). Attention-deficit/hyperactivity disorder (ADHD) and working memory in adults: a meta-analytic review. Neuropsychology, 27(3).

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