"Utilitarianism is slowly driving me mad."
"Okay, the part of me that talks wants to self-report that utilitarianism is slowly driving me mad, but what's actually happening is probably better described at a lower level of organization.
"I don't know how to simultaneously love life and actually believe in evolution. People mostly like being alive, and there are all sorts of wonderful things like friendship and love and pleasure and beauty—but those things only exist at the expense of enough pain and suffering and death to carve love into the genome from scratch. I don't—I'm not sure it was worth it.
"But my thoughts are better constrained by decision-theoretic relevance: since I can't make decisions about the past, asking whether it was worth it is a type error, a confusion. My life is going fine right now: I'm young and healthy and smart and rich. The local future looks great. And the deep future—doesn't need us. I am content."