Pisces Midheaven is very susceptible to outside influences. They will usually wait and see what happens. Some people think they are unstable just because they follow their own time table.
Since they are very sensitive to psychic energies, it can disrupt their activities. These energies may come to them through channeling, intuition or feelings. If all goes well, this psychic ability will give the individual with a Pisces Midheaven compassion, inspiration and a spiritual perception. But this doesn't mean they have an easy time deciding what they want to be when they grow up. They know what they want to achieve, but they lack practicality. They are idealistic. When they do make a decision, it will probably be made based on emotions.