There is wisdom in that view, but I also hear an unwarranted self-accusation and an all-too-characteristic lack of self-compassion. No person is their disease, and no one did it to themselves—not in any conscious, deliberate, or culpable sense. Disease is an outcome of generations of suffering, of social conditions, of cultural conditioning, of childhood trauma, of physiology bearing the brunt of people’s stresses and emotional histories, all interacting with the physical and psychological environment.