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I don’t think this is quite right - the “hierarchy of needs” pyramid is misleading. Self-actualization is fleeting just like physical care (eg meeting basic needs) is fleeting - if you stop doing it, things go downhill quickly, and so you’re always doing it at least a little bit.
While a lot of people frame self actualization as what they would do if only all other needs are met, they really should be thought of as needs you must meet to feel fulfilled. Could be as simple as reading a good book, getting out into nature or cooking a nice meal. Anything that you get value from ticks the box for a little while.
I interpret the self-actualization part more as something like following one's dream, or doing something one is really passionate about.
Not everyone have this luxury, but then people live just fine without it.