If you've seen the movie, "Eternal Sunshine of the Spotless Mind", you'll know that having a clean slate doesn't necessarily stop people from repeating the same mistakes. Our wiring doesn't change with such a pill. We will still have the same preferences, be prone to same habits, and eventually find ourselves back where we started.
While I didn't get a magic pill of this kind, I did go through intensive NLP training (neurolinguistic programming) at age 20 that essentially aims to give you a clean slate by removing all the garbage from the past and completely changing your perspective on life. After the training, I was euphoric and completely turned my life around. However, even though I accomplished tons of things I had never imagined even trying before, I quickly started redeveloping the same issues I had in the past.
Hence my conclusion that I'm stuck and the only way to get out of the pattern is to ctb. :)