I think it's an unholy triad of depression, anxiety and low self-esteem as far as I'm concerned. No motivation because of the depression, stressed/fearful because of the anxiety and convinced that nothing I do is worth doing anyway.
I don't think all our loved ones think of us as lazy. I didn't want to ask anyone for help because I figured they all thought I was a lazy waste of space. But my tp convinced me to ask a friend and now I'm actually going to get help with the work that's confusing me. I guess I keep forgetting that just because I hate myself doesn't mean everyone else does too