If you ignore the insistent call of the inner self, you can have everything 'perfect' in your everyday outer world, but none of it will stop you from feeling that literally unimaginable pain of ennui, that sense of how nothing (even though and really in a way precisely because you have everything), will satisfy, nothing gives joy or even pleasure, not the sunset, not the finest meal.
And where are you? At the gates of depression, and having to use every trick in the book ( because, after all, this is how you attained your worldly success, with trickery, essentially) every wily strategy at your command, every inner ounce of strength,to make sure you don't succumb to that black dog.
And so life is basically a struggle, a going through of the motions, because your ego is preferring to put up with the pain, rather than surrender to the call of the inner self. And you KNOW that you are never Going To Win, but hey, maybe there's a chance. And, you know what, it is what it is, and nobody, nothing NADA, is going to tell me what to do!