How to discriminate mental health from physical health issues

[ms spock]

And I think there is a difference this time. I some of the stuff my therapist has been saying is getting through? It's like, self-care is actually an option. Or I'm realizing just how ingrained my lack of self-care is and understand that's creating a lot of this.

That is a huge awareness and learning!

Why do I just joke about lacking common sense and decide that's how I am and keep doing the same stupid shit over and over?

Because you are human and trapped in PTSD and trauma, I do all this as well, it all takes longer than you think to manage to make those small incremental changes!