My obligation to myself is to live this life congruent with acts and decisions that bring me to full and complete healing and restoration.

Most of it is admin. The repeat prescription that needs collecting, the appointment moved twice, the form somebody has to sign. Nobody frames a life around paperwork, and yet an enormous share of getting better is exactly that.

Obligation is a heavy term for a set of small, boring, doable acts. Worth keeping it light. The days you don't manage them are not moral failures. They are days.

Pick the item on the list that has been there longest and do only that. Congruence gets built out of that size of act, not out of resolutions.