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I stare at the screen for hours, trying to make the words come out, but they won't. I can't compel myself to take a break, because there's this voice screaming at me from the base of my brain...
"You've been told you're a great writer, and you want to be a published author. But all you have to show for it after forty-four years are a dozen crash-and-burn writing projects. When you have the time to write, you don't, for a host of reasons. If you don't have something written by the time you die--which comes closer with every passing day--you've wasted your gifts, you've wasted all the effort people put into educating you, and you've wasted your life. So sit down and WRITE, you worthless piece of shit!"
How do you get past the paralysis caused by the obligation to produce? Is there a way to trick your brain and your body into writing? Or do you just slog on through, no matter how long you have to sit there to get a thousand words a day out?
Perhaps you could try to be kinder to yourself.
I always give myself permission to write or to do nothing at all (staring out of the window or at a wall is okay). After a while spent staring at a wall it's often easier to write.
Remember if you write a page a day -- 300 words -- at the end of a year you'll have a 100,000 word novel.