Yeah, on the one hand, the pressure of a long work, perfectionism, etc, is something a lot of people would struggle with, not necessarily dysfunctional; on the other hand, I just can't help suspecting that the way I perceive the world is different, like I've long felt alien in this world (just to the way other people interact with each other). But I don't think there's any question that some people qualitatively handle the creative process... better. Like, they don't feel any inhibition inventing whole universes out of apparently thin air. Whereas I just can't, and even if I try, it feels unpleasantly raw and icky.