confusion becomes a problem when:
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It leads to ongoing distress (anxiety, depressive symptoms) rather than just pondering or restlessness.
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It prevents taking any step forward—because fear, indecision, guilt, or external pressure make all options feel impossible.
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It causes burnout or health decline.
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It erodes relationships, self-worth, or identity.
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You start measuring every decision (or inaction) against what you should have done or what others expect, rather than what feels authentic to you now.