Sometimes, no matter what I do, I can't get up. But in general, if there is stuff to be done, I just get up and force one foot in front of another. There is no motivation about it. The 15 minute timer thing works well for chores and things. Set a timer for 15 minutes, force yourself to do the task for just that amount of time. If I have to go somewhere, I just walk out the door and get in the car. It all sucks and it's hard. Big hugs