Yes. I do a poor job of making that clear because I feel so strongly that physical health and mental health cannot be neatly separated. "A sound mind in a sound body."

To me, (a lack of) "passion, willpower, and consistency" really sounds like someone with low energy due to a hidden health issue.

I was called lazy until I got diagnosed with a genetic disorder in my thirties. I've often joked that life got a lot better "after they found a better name for my condition than lazy and crazy".