I have health issues. Getting them under control is the crux of getting my time management issues under control.I suspect this is far more common than is recognized.

I was called "lazy" my whole life. Then I got the right diagnosis in my mid thirties and began getting my act together. I wasn't lazy. I just didn't have the energy to do the things I needed to do.

I still am not as productive as I would like to be, but it is vastly better than it used to be.