(a non-exhaustive checklist)
Is there a big fucking lump of inability wedged just behind your voice box?
Are your tear reservoirs always dangerously close to running over?
Do you have to rack your brain to think of things you like, or things you would like?
Speaking of that, is the future any more than something to be got on with?
Are you sleeping to avoid being conscious?
Have you taken your medication?
Then congratulations, this is just how your life is.