I'm fairly sure the author means that if you're still able to maintain a more or less demanding job and all the social obligations thereof, the degree of your s

I'm fairly sure the author means that if you're still able to maintain a more or less demanding job and all the social obligations thereof, the degree of your suffering is nowhere near as serious as it could be. Take for instance someone suffering from debilitating/easily triggered mental breakdowns/ seizures. You may think that these conditions are not strongly related to procrastination, I can argue against that.