I'll come out of the shadows (well not really, I'm too ashamed to post this under my normal LW username) and announce that I am, or anyway have been, in more or less the same situation as MixedNuts. Maybe not as severe (there are some important things I can do, at the moment, and I have in the past been much worse than I am now -- I would actually appear externally to be keeping up with my life at this exact moment, though that may come crashing down before too long), but generally speaking almost everything MixedNuts says rings true to me. I don't live with anyone or have any nearby family, so that adds some extra difficulty.

Right now, as I said, this is actually a relatively good moment, I've got some interesting projects to work on that are currently helping me get out of bed. But I know myself too well to assume that this will last. Plus, I'm way behind on all kinds of other things I'm supposed to be doing (or already have done).

I'm not offering any money, but I'd be interested to see if anyone is interested in conversing with me about this (whether here or by PM). Otherwise, my reason for posting this comment was to add some evidence that this may be a common problem (even afflicting people you wouldn't necessarily guess suffered from it).