Oh, and before I forget; Nancy told me something in our last session that I need to think about more, because it really is important:

My motivation when I was younger was fear.  That's why I was able to do things diligently and obsessively.  Now that fear has (not completely disappeared but slightly) dissipated.  I'm trying to figure out what I actually like and what I actually want and the unknown is...scary to me.

The fear of disappointing people is still there, but I guess knowing more about myself (as little as I do know) and examining my own head has made it no longer the primary motivation to do things.  And since I can't seem to find a good replacement, I've been standing in place, metaphorically speaking.