Quite simply, sometimes there's no choice. You either need to make something, or you need to give up.
Sometimes the urge to create comes out of happiness, sometimes it comes out of pain. Sometimes we choose to give away these outpourings of our souls to people, and sometimes we realize that we were never really understood.
And then, sometimes, we need to make it up to ourselves. Find that thing that we lost, reclaim what was given away in a moment of heedless generosity or unbridled enthusiasm.
Sometimes it's quilt or die.