MissUnderstood: The ADHD in Women Channel

Decisions, decisions: ADHD and the trap of analysis paralysis | Sorry, I Missed This

10 snips
Feb 26, 2026
Dr. Mark Schrime, a surgeon and decision scientist, explains why choices feel exhausting and how values, uncertainty, and heuristics shape decision-making. He explores analysis paralysis, cognitive overload, and the 70% rule. Hear practical moves like trimming options, practicing small risks, and when gut calls are okay.
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INSIGHT

Uncertainty Triggers Stress Shortcuts

  • Uncertainty feels like stress and drives shortcuts that can worsen decision-making.
  • Schrime notes bodies react physiologically to uncertainty and that bouncing between levels (why → what → how) prevents decisive action for people with ADHD.
ADVICE

Name Your Values Before You Decide

  • Articulate your values explicitly before deciding so you solve for what you truly want.
  • Schrime warns against using outdated or idealized values (e.g., 18-year-old priorities) that produce dissatisfaction later.
ADVICE

Decide With Seventy Percent Certainty

  • Use the 70% rule: decide when you have about 70% certainty and accept remaining uncertainty.
  • Schrime recommends trusting yourself to handle outcomes and avoiding endless information-gathering that blocks action.
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