Oh I hear ya Mady Johannah! I was thinking about this very thing when I first read your post.
Vjdragonfly, wish I did have some motivation hints. Seems I've either got it or not. The only trick I've ever found that works sometimes is to do one tiny thing. Good chance it'll lead to another tiny thing or two, but don't fret if it doesn't. The thing I usually hear in my mind prompting the second action is, "well, I might as well just do <whatever it is> while I'm up..."
Today I'm kind of tired. Tomorrow is the PMHNP appt, so I'll be getting my things and thoughts together and figuring out the directions to get there. So.... a little nervous too. Probably be more nervous if I wasn't so tired, so maybe tired is a good thing(!)