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Ask Perrie: Stuck In the Freeze

Dear Perrie,

Ever since cancer, I’ve been paralyzed by procrastination. There are so many things that need to be done that I just can’t do any of them. The phone calls, bills, having to talk to people about why the statement I got is wrong- it’s all too much. How do I move past this? I need to deal with these things head-on, but can’t bring myself to do any of it. 

I’m tired and overwhelmed.

Dear Stuck in the Freeze,

First, I want to name that what I’m hearing in your question isn’t just procrastination. Yes, you might be avoiding important tasks, but when we’re in fight-or-flight mode (fight, flight, freeze, or fawn), our nervous system sometimes tries to protect us from overwhelm by doing exactly what you described: freezing.

When that happens, it can become hard to think clearly. You might avoid tasks, numb out, or feel like you aren’t even fully present when these things are being discussed with you. That doesn’t mean you’re lazy or failing; it means your nervous system has been under a lot of pressure (and like….duh, Perrie….. Cancer is hard!)

So my guidance for moving through this starts with something simple: notice the freeze. The more awareness you can bring to those moments when you feel yourself shutting down, avoiding, or checking out, the easier it becomes to gently move through them. The first step really is awareness, as they say

You might start paying attention to how your body, thoughts, and emotions show up when you’re facing these tasks. Do you feel tension? Brain fog? A sudden urge to walk away or hide under your covers? Slowing down and getting curious about those reactions can help you respond with a little more compassion toward yourself.

From there, this becomes a divide-and-conquer situation. We’re not meant to handle hard things (or heal) alone. If you have access to a support system (friends, family, church members, online cancer buddies, etc.), consider reaching out for help. There’s no shame in letting someone shoulder a bit of the burden.

For example, someone might help organize bills into a spreadsheet, sit with you while you make calls, or help you figure out where to start. Sometimes just having another person nearby can make a task feel far less overwhelming.

If you don’t have that kind of support available right now, you might ask your medical team about connecting with a social worker or nurse case manager. Many oncology teams or insurance plans can help connect patients to someone who can assist with billing issues, financial programs, or simply advocate on their behalf. Having a professional in your corner can make a huge difference.

And finally, when in doubt: one call at a time.

Big mountains look impossible when we try to climb them all at once. Instead of focusing on every task waiting for you, see if you can bring your attention to the next smallest step. Just one. Giving yourself permission to handle the rest later (and maybe even tell yourself that’s a problem for future me!) can lower the overwhelm enough for your brain to move forward with one time. Do that practice enough and you might find that you’ve completed 3-5 next steps!  

You don’t have to solve everything today. One step is still movement.

Rooting for you,

Perrie

Ask Perrie is Cactus Cancer Society’s advice column for the questions young adult cancer doesn’t come with instructions for. Community members submit anonymous questions, and Perrie offers thoughtful guidance, perspective, and practical ideas for navigating life during and after cancer.