Dr. Makover,
Chief Medical Officer JIB
We seldom  get things completely the way we want in dealing with other people.
  We need  to negotiate, give some to get some, reach a solution both sides can live with.
  You would  think that when we ask things of ourselves, we could get anything we want, but  actually we negotiate with ourselves all the time.
  I want that  fancier car! Yeah. 
  But the  money you save on the cheaper one will help pay for little Johnny’s college  education.
  But he’s  only two years old! I can get to that later.
  Yeah,  well, if you start saving very early, it is less painful when spread over a long  time.
  Sigh.
  Much more  commonly, we bargain with ourselves about whether to eat that dessert, take  that walk, use that gym membership, pass on that extra beer, smoke that  cigarette and on and on. 
  We rationalize ‰ÛÒ think up seemingly great reasons why we should do the thing we want instead  of what we know is best. Rationalizations sound good to us because we are very  biased in our own favor and influenced by the part of our brain that is less  logical, more emotional and greedy.
  Over  fifty years ago, psychologists at Stanford University conducted a famous and  unique experiment involving children aged three to six. It came to be called The  Marshmallow Study. They had each child sit in a small plain room at a  table. A hidden video camera recorded all of their reactions. A researcher  would come in and place one marshmallow or cookie on a small plate in front of  the child and would tell the child he or she could eat it right away, but if  they waited twenty minutes (an eternity for very young child), they would get  two marshmallows or cookies to eat. 
  Some  children ate the treat as soon as the researcher left, but about one third  waited, often in hilarious agony until they got the second treat (watch the  video on YouTube, touching and funny). The researchers 
  followed up on the children for up to twenty years after and found that those  who 
  had waited were healthier, happier and 
  more successful than those who could not wait.
  They also  found that, for the children with no patience, they could teach them how to  wait to get more.
  They thus  showed the enormous advantage of being able to delay current gratification for  future reward. 
  It is the  battle we all fight with ourselves. The more successful we are in delaying  instant gratification and knowing when it is worthwhile to do so, the better  off we are. 
  Doctors  have an easy time telling you when it is worth doing something you would prefer  not to do, but they have the enormous advantage of knowing what will likely  happen to you if you do not do it, based on scientific evidence and experience.  They might have the same struggle in making their own decisions, for the same  reasons as you, but they can be objective about 
  you.
  It is your  life to live and choose! Doctors are your  expert advisers, but they do not want to live your life for you. Only you can  do that.
  Part of  the problem is that logic and resolve last only a short time, whereas temptation  lasts almost forever and lots of things have undue influence on us,  such as stress, manipulations from advertising and marketing, social pressures  and much, much more.
  In  addition, as psychologist Dan Ariely puts it, we are ‘Predictably Irrational.’  Most economists assume that people act logically in their own best interest,  but, in reality, as behavioral psychologists have clearly shown, we all are  greatly influenced by hidden instincts that often are very illogical. 
  Fortunately,  it is not hopeless. The young, impatient children could learn to  do better. Millions of people have successfully thwarted their negative  inclinations and become non-smokers again, achieved a healthy weight, overcome  their drinking and drug problems and much else.
  The secret  to success? Sounds surprisingly simple: You have to passionately  want the goal for yourself so strongly that nothing will keep you from reaching  your promised land. You will need to understand the problem well and  have a good plan (both of which you might need some advice for) and an equally  passionate commitment to keep going until you succeed.
  Can you do  it?  
  Of course  you can ‰ÛÒ you are the absolute ruler of you! 
  Will you  do it? That’s entirely up to you.
  Good luck!