
MissUnderstood: The ADHD in Women Channel Decisions, decisions: ADHD and the trap of analysis paralysis | Sorry, I Missed This
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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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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.
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- Schrime warns against using outdated or idealized values (e.g., 18-year-old priorities) that produce dissatisfaction later.
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.
