I think that living in the moment is critical. Yes, its important to have goals of what we'd like to achieve, but at the same time, when you're in a very symptomatic place, then the focus should be on now, not tomorrow or next week or even next year. This was a HUGE struggle of mind when I first started treatment. I was always thinking of what I should be doing or what I should be working toward, and it was a huge distraction from actually healing. Once I was finally able to accept that wherever I am in *this* moment is perfectly fine, then healing became a bit easier. I was able to work on what was right in front of me rather than focusing on goals that wouldn't be attainable for a good long while. And the thing is, that when I was focusing on the current moment, the current symptoms, and the current struggles, I was actually working on my long term goals (but didn't really realize it!)
I think that setting goals of where you want to be in the future comes later in healing. (I have a feeling many will disagree with this.) Well, I know it did for me. I mean I've always had the major life goals of becoming independent again and not being on SSDI, but other than that, the focus was on the present moment.
If you're setting many goals at the beginning of healing, you really have no idea whether or not they are realistic because you don't know how much you're going to heal, and you don't know what your lifelong struggles will be (if any). I think its important to be able to do an accurate self-assessment when determining if your goals are realistic, and this isn't really possible if you're at a point where you haven't done much healing yet.
I'm not saying this to be pessimistic, rather I think that its important to focus on the present moment and set more immediate goals. Once you're able to meet these more immediate goals, the bigger picture of what you can ultimately achieve will be a lot clearer.
So, that's how things sort of went for me. I've been healing since diagnosed in 2008, and it wasn't until last summer that I decided what I wanted (I mean TRULY wanted) in my life. I'm working toward entering a new program at school and I have a definite idea of what I want my life to be like. I've taken into account what symptoms I still struggle with and they are compatible with my goals.