Life.... What is holding you back? And Then What Syndrome.

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In my life I think I am holding myself back, I am a really good person almost to a fault. I have had situations that instead of thinking about what I want, what I need, what I desire, I help someone who I think is less fortunate. I grew up looking back with very little stress, always just enough money for the things that I needed and a few of the things that I wanted. We were in no way rich or even middle class, but we were all raised to see what really makes you happy and go with it. But I also think that I am a self sabotager (sp?) I love being in control of things. Not to the point of being a drill sargent or anything but I like to get things done. A motto of mine has always been make it happen. When it comes to my life I am happy but I want more, and that wanting more makes me scared. I want to go back to school to study nursing, but I fear then what? Ok, I'll be a nurse... then what? I want to get a better job... then what? I want to have more kids... then what? I hold myself back because I always what to know and then what. The life I am living now, there is no immediate need for anything. We are a happy family unit. I wish I could get over my And Then What... I will work on it. Is there anything that is holding you back.