In this episode, we explore decision making and its connection to hoarding. I dive into neuroscience research, exploring the neural mechanisms of decision making in hoarding disorder, discover how individuals categorise their own possessions versus those of others, and how this impacts their ability to make decisions. I talk ways to improve decision making skills. From flipping a coin to considering our values, setting priorities, and seeking advice, I explore practical techniques that can help anyone struggling with indecisiveness. Along the way, I tackle the fear of uncertainty and how it can hinder decision making. I delve into the different decision making styles that researchers have identified and how understanding these styles can help.

For the transcript for this episode, visit http://www.overcomecompulsivehoarding.co.uk

Hoarding OCD patients struggle with decision making.
Differences in decision making for hoarders.
Anticipating regret
Test small decisions
Gather information, set time limits for decisions
Accepting uncertainty
Toss a coin, keep perspective, ask advice.
Consider long-term consequences, stick to decisions.
Start small; gain confidence in decision-making.
Learning from past decisions improves future choices.
Hoarders report anxiety and procrastination in decision making.
Lack of self-trust skews decision-making
Hoarding disorder linked to impulsive decisions and self-reliance.
Differences in categorising own items compared to others'
Writing down thoughts can clarify complexity and solve problems
Fear of mistakes leads to decision avoidance.
Hoarders anticipate regret
Ask more than "what if"
Perspective, flexibility, seek advice.
Stick to decisions and avoid second-guessing or agonising over them.
Psychology Today: 35,000 choices made daily
Decisions can be overwhelming
The butterfly effect and the impact of seemingly insignificant decisions
Strategies for Decision Making in Hoarding
Imaginary Person Technique
Aligning decisions with values to prioritise what is truly important
How values can guide decision-making in hoarding situations
Neural Mechanisms of Decision Making in Hoarding
Study involving brain scans and paper items
Tossing a coin to make decisions and considering feelings about the result
Setting priorities, asking "what if" questions
Being open to different perspectives
Tolerating uncertainty
Understanding Decision Making Styles
No definitive set of decision making styles
Cultivating Compassion and Making Ethical Choices
Cultivating self-compassion
Making compassionate choices for a better quality of life
Practical Tips for Decision Making in Hoarding
Starting with small, easy decisions and gradually progressing to more significant ones
Challenging oneself to try different options and gain decision-making skills
Learning from past decisions to inform future ones and identify helpful strategies
Considering long-term consequences rather than focusing solely on immediate ones
Stepping out of immediate emotions
Sticking to decisions and avoiding overanalysing or second-guessing
Difficulty making decisions among patients with hoarding disorder and OCD
Characteristics of hoarding disorder, including excessive indecisiveness and avoidance
Hoarding disorder's association with procrastination, indecisiveness, and decision-related fears

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