I think it's outright disrespectful to just assume people in such circumstances are just looking for external factors to step out of responsibility. Have you ever thought that they do want to make a move, but just cant because their minds are broken?

you cant apply the "you actually just have to step up and get out of your comfort zone" advice to people whose minds are severely altered by their condition. You fix the condition first, or give a remedy, then when they start to get a grip on things you move to making changes to get them out of the situation

thank god you only speak for yourself, please keep it that way