Decision fatigue can feel overwhelming for trauma survivors, people with anxiety, ADHD, depression, burnout, or executive functioning challenges. This article explains why decision-making can trigger threat responses when past experiences taught someone that mistakes lead to punishment, rejection, criticism, instability, or loss of control. It explores overthinking as an attempt to create safety and offers trauma-informed tools such as reducing decision load, creating defaults, using decision rules, sorting choices by stakes, limiting options, and trying safe-to-try experiments.