The thing is that no MD can know for sure how much of a person's mental distress is "genetically" driven a d how much is due to the person having an approach to life that is maladaptive. My point is that it isn't necessary to figure all that out. Plus, we don't have the ability to do so. And neither do our doctors. So we work on all of it. We try out meds and see if they help. But we also structure our time according to some kind of a plan. We can lie in bed and watch life get crappier and crappier. Or we can get up and do what we really don't feel like doing.

Think I'll go to bed . . . and set an alarm to get up in the morning .