I'm reading this as an intervention of the "Get your life together, get a job, we're not going to enable you anymore" kind, in which the target of the intervention is being judged for moral shortcomings, when actually his failure to just "snap out of it" is beyond his control due to depression or a medical inability to comply with the interventionists' wishes.
Overall, I like the imagery, except for
Morning arrives in waves that sculpt the sand
to feline shapes and worse.
I am probably not supposed to be picturing a litter box at this, but in a feline context, it's impossible for me not to.
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