I think for many of us mental illness robs us of choices we would otherwise have. So sometimes they are crappy choices. If I am really severely depressed I might think....should I brush my teeth or not. Maybe I choose not to brush them. But at least I feel like I had a choice in the matter and some control. I have to consciously think about what choices I have.

I am supposed to go to therapy in a little while and I don't really feel like going. I could go or choose to cancel. If I choose to cancel I have to be willing to face the consequences or there may not be any consequences. I will go but I am consciously choosing to do so.