Just how accountable do you hold yourself?

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Do we create our own destiny by the choices we make? If so should we re-evaluate our actions in emotionally drawn situations?

My first train of thought is based on atheism, the thought process that logically suggests the result of our actions is as random as throwing chips up into the air and where ever they fall they fall.

The second train of thought is more of a belief, in karma or fate. Those that believe what they do has an impact on the future. People that have the ability to think about what they do before they act. It's harder then you think for most of us. Especially under pressure when you just react without thinking and then you are left to pick up the pieces and humbly try again... This is the hardest choice of reasoning because it involves discipline and ownership of blame, and reconstructing of self destructive patterns.

The last train of thought I wanted to explore is that there is some superior design for what happens, that everything is already predetermined and what we do has very little to do with some master plan. I'm inclined not to put much faith in that way of thinking, as it leaves little room for consequence and self growth. But I had to put it in here, since SO many people make room for it in their own heads.

So which are you? You can be little bits of all three, but I just wanted to know...