I had a therapist once who told me that I would make all the scary things that I feared so much happen just by believing they were inevitable. I can see he was right, but the way he said it was so brutal. It really annoyed me that he didn't try to get behind the fears and anxiety or show me how to get out of that cycle and boy did I want to escape from it.

So while I believe that self sabotage does happen, I think its mostly involuntary, I've always wanted to get better just never found the right way. The cynic in me says self sabotage is a cop out for therapists who find themselves as stuck as their patients.

Right now I'm probably self sabotaging by staying up late and not taking care of myself when I know I'm depressed and my mood is close to rock bottom. If I don't look after myself, I'll soon be too tired to care and apathy provides a welcome relief from tears and pain.