Something that I've used to judge my health, in more ways than one, is what I call the need-to-pee test.
When I'm sitting, wasting time, and I need to pee, healthy me will just get up and go to the bathroom. That's normal behavior.
Sometimes, however, elements of my health will make that very basic task difficult. When you recognize that you need to pee, but you have to have an internal conversation with The Vampire of Despair about if you needing to pee is a failure and a judgement on your worth as a human being, you need to reach out to someone about your mental health. Being too depressed to get up and go pee is a sign that something in your mental health is very wrong. It's a sign that it's "bad enough" to really need some help.
When you recognize that you need to pee, but you don't want to get up because your body will be in pain, that's a sign that your pain is "bad enough" where you should do something about it. If you've been sitting around your house telling yourself that shit's fine, but you also procrastinate on the basic duty of going to take a pee because doing that simple task is going to cause you so much pain that it's not worth the comfort you get from not needing to pee, your body is fucked, and shit's not fine.
Getting up and going to pee is a thing that should not take effort or be unpleasant. Having difficult getting up and going to the bathroom often means that your problem is actually pretty bad. If you've been ignoring the problem, it's a very good sign that you should stop ignoring the problem.
Needing to pee but not being able to get up and go pee because the cat is sitting on you, however, is normal operating procedure. How dare you move the cat for something as selfish as your basic bodily functions. You metabolized and you didn't even get permission? The cat does not approve.
