My lifelong mental illnesses, fuelled significantly by the Borg, are very bad at the moment and result in me missing lots of midweek meetings, but I haven't missed a Sunday in years except the occasional vacation.
The nature of my mental and emotional illnesses mean that I, as a physically in and mentally out PIMO, take to heart very painfully admonishment from the platform to never miss meetings, preach all I can, and so on.
Okay, I report 3 hours each month on average and no elder has ever said anything, but when they make comments on the platform, I feel such great guilt and shame, but also anger, as they do not understand my illnesses and when I do mention my situation to elders, they kind of minimise and joke about it.
Some other sisters in my Congregation started "officially" not attending midweek meetings a few year's ago because of their own health circumstances, but I know for a fact that some elders look down on them for this reason, not showing real understanding deep down even if they do on the surface.
I have reached the point where I want to hand in a DA letter as a cry for help, or more like a clear indicator to them that when I say I'm not well enough to attend midweek, I really mean it and it's not just an excuse. Sure, I'm only 42, but I can still be too fragile to go out at night with a 30 minute drive both ways.