What do you do when on your appointment day you wake up feeling awful, even though you were fine when you went to bed. I sometimes have to cancel at the last minute, then my inner voice says "Loser, can't be relied on for anything." I feel bad about myself, and imagine everyone else looks down on me. Then I start to wonder if I feel awful because on some level, I just don't want to go out, because it gets to be such a hassle and so fatiguing and takes up so much time. I rely on public transportation for disabled people, and every appointment winds up taking two or three times longer than it should. This question makes me doubt myself even more. I would appreciate some feedback on how others handle things.