As for what this Thread is ACTUALLY about:
The Instinct Menu can also be useful for if you have a Scenario with actual Goals, and need to subtly tell your Players how to achieve said Goal, by just saying things in that Menu like “I should be working on crafting more of this Item” or “I need to reach the Flag, which is 420 meters left of me”.
Note, that these Entries would NOT be this much Text, rather their Mouseover would show the longer Version I just “quoted”.
This Menu could even suggest you what to do, if you have a Clipboard with a TODO List on you or so. There is many options on how to add/remove things from the Menu.
Sticking Notes all over a Desk as reminders could also be a nice way to prompting a Menu Entry to appear.
Also, unrelated but being drunk or on drugs could distort the options in the Menu too, just to realistically mess with your real life Mind. XD