Probably first and foremost for me, I do not take care of myself. I always put others first, and I am a distant 8th or 9th. And I notice when I do that, in the long run, my “give a damn” goes away, and I stop taking care of me - sleep decreases, stress increases, exercise decreases, etc. I hate it, but once I get to that point, it takes a lot to get it back and get me back on track.