I think much of it has to do with depression, which coincides with holding fears to heart.

I smoke a copious amount, and as long as I have my life organized in a routine, I can be the most adamant, motivated son of a bitch. I have ADD, without routines, my life would become a clusterfuck.

I look at other people in life who I would consider depressed, and they have a hard time getting up in the morning, let alone to be motivated to engage. Partly, I think they are afraid to change, that doing so would change them as a person in a way they deem as "selling out." I think if one looks into themselves clearly, they can find the motivation to do anything. But doing so requires clarity and facing discomfort and fears.