My immediate thought after reading the question was also the very last sentence of 1984. It was the first time that a book caused me to feel a deeply visceral, lasting emotional response. Reading through the first 99% of the book, I found it a well written and engaging book, but all of that just lead up to the very last sentence. It absolutely hit me like a truck. I also just sat stunned after finishing the book.

Thank you for posting this. You wrote it better than I could. Much respect and appreciation to the parent commenter for the good insights; for some of us though, that first bullet point is a bit of a sore spot. When I initially read the first bullet point I had to close my browser for a while. For decades, I tried to "just do things" or "find meaning in tasks" or do whatever other advice I could find. About a year ago, I finally went to a doctor, got diagnosed, and started trying different medications. It took months to find the right combo of meds, but once we did I was astonished at how I could now also "just do things" (at least, for part of each day). The meds aren't perfect--I have good days and not-so-good days--but I am thankful to have some predictability now as to when I will be functional.

Also, for those starting out, it might take a few tries to find the right med(s). For me, just a stimulant or just an antidepressant didn't do much, but a stimulant and an antidepressant together has made a great improvement in my life.