Anyone have any advice on how to get past the catch22 of solving the problem of lack of motivation?
One thing that helps me is making a list. Very simple, but it does work. When my anxiety was at its peak I even had things like "shower, eat breakfast" etc on the list. It's kind of funny to me now, but I really needed to do that so I wasn't just tunneling around my house like a gerbil all day. You also get to check things off and that can give you a sense of accomplishment. I've found that with most things in my life, the fretting and indecision is way worse than just writing it down and doing it. The anticipation is usually worse than the reality.
I like Frankcashew's advice of "get up" and "exercise." I couldn’t agree more. If you don’t exercise, just start off with a 30 min walk every day. I also try to get out for at least a 10 min walk on my lunch hour at work to break up the monotony. Endorphins – it works.
I also loved Adam Carolla's "fake it till you make it" rant. When I didn't want to go to work after a sleepless night punctuated by anxiety attacks my husband would almost literally push me out the door. "Just pretend you feel fine. Pretend you slept all night. Fake it." Sometimes I think that was the best advice I got.
Just call and make the appointment and you will stop thinking about it. Don’t beat yourself up. Asking for help is hard and it’s great that you are on this forum looking to make things better for yourself.