I don't really buy that it is like... strictly that desire. I think something is different in their physiology or psychology. I know people who were so sick the

I don't really buy that it is like... strictly that desire. I think something is different in their physiology or psychology. I know people who were so sick they're barely staying alive and their lives are absolute miserable nonsense and they even verbally express not wanting to deal with it but they still just have self-care habits that keep themselves stable. Maybe it is something like that's a precursor to losing those habits but I don't know I've seen the behavior for multiple years.