Keany Reeves: A lot of people don't struggle with depression
(media.gab.com)
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I think it may be more of a balance is what is needed. Mine stems from the fact I don't have enough time to do what I want to do.
So, if one has too much time, they can contemplate, and if one has insufficient time, they ruminate. Perhaps there has to be a middle ground between self and some sort of purpose (the work and effort you describe).
How true! Mine can stem from decision fatigue...when I'm faced with overwhelming information, decisions become stifling and lead to withdrawal from the "noise" and clutter of my environment, but mostly mine comes from SAD...I'm a sunlight junkie and low light is toxic.