Rationality doesn't work great because if you are unemotional why does option B seem more rational than option A?

I think I am some kind of failed psychopath or schizoid. I am not violent or a criminal or even too much of a liar but I can't get my life together despite high intelligence.

I move from one impulse to the next driven by weak emotions.

Feels bad but can't seem to do much else.

I have tried therapy and medication. Therapy didn't help. Medication helped a little but I always revert to the old pattern of procrastination.