To me, it rather feels like the opposite, like the "wanting to get better" explanation is a moralistic, post-hoc rationalization. I live a reasonably successful

To me, it rather feels like the opposite, like the "wanting to get better" explanation is a moralistic, post-hoc rationalization. I live a reasonably successful life, but many of the things that made it so are just luck. I was born in a reasonably affluent country, and my parents always provided good care and abundant financial support. I am pretty awkward, but smart enough to get through life. I am naturally interested in programming computers so I don't even need to make an effort to do it, and this happens to match one of the most demanded jobs. I am depressed/anxious but thankfully SSRIs work very well for me. I had no bad influences regarding drugs. To me, it seems those reasons have had a greater influence than "wanting to get better" could ever have. In fact, when you're depressed, there's not even a "wanting to get better" to be had - you're just reflexively pulled to bad feelings.