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I always feel unsure of myself - I tend to question every decision I make, sometimes for days. I feel like I can't trust myself to make appropriate or "normal" choices, so I freak out if I can't ask someone else if they think what I'm doing is ok.

For me I think it's related to being a perfectionist, and always having to do things the absolute "best" way. It adds a ton of pressure to do things perfectly all the time, and in reality there is no best way to do anything, so it's an empty goal. You're not going to always do the best things, and the challenge lies in embracing that - let yourself make mistakes, have social anxiety, just screw up in general.

If you're thinking and being conscious of the world around you, then you're doing the best you can, which is as close to doing the "right" thing as anyone can get. Everyone has gaps in experience and knowledge, and you aren't any less capable that anyone else in making decisions, even though it might feel that way :)
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