For me, when doing the work I am "in it" and that can feel stuck/like a rut and I only realize it's not when I'm looking at it from a wider perspective and considering it instead of "doing" it but there's a routine set up so I work a bit, ponder a bit, etc.

But with a lot of my symptoms, they made me feel crazy, as you say, when I worked with them so I kind of quit looking at them at all, just ignored them, and as my insides got more healthy the symptoms kind of dropped off or became less annoying. My major one I started therapy for in 1970 and had had since I was 2 or 3, didn't go away until around 2003-2004 but it literally just went away. I can remember agonizing about it in the 1970's and trying to imagine my life without it (and failing to imagine that because it was time consuming and I couldn't imagine what else I'd be doing?), etc.