Some suffering is rooted not in instinct conflict, but in existential conflict: conscience against compromise, vocation against conformity, values against a life that feels misaligned.
In these cases, the mind is not merely malfunctioning. It is reacting to a human problem that cannot be solved by treating the person as a machine.
The response proposed is direct engagement with responsibility: what must be done, what must be changed, what must be borne, what must be refused.
The key is not to pathologize the question. The question may be the most human thing about the person.