I feel like I've made some improvements in my anxiety management but at the same time I've had so many setbacks that it feels like the little progress I have made doesn't make a difference. I try to reassure myself, but I think the scariest thought for me is that things will never get better. I'm always telling myself to have hope and to believe that I can get through things but then I think things like "If things haven't gotten better already then why would they get better now?" and I feel like I'm getting worse.

I have some physical health conditions that have gotten worse since last year, and that definitely impacts my anxiety and insomnia too. I stay up at night because of the pain being so intense on some nights and it prevents me from having a stable sleep schedule. I have a lot of phobias relate to sleep because generally sleep is not a good experience for me (I get nightmares and my heart is pounding from the instant I wake up).

I feel like my anxiety has been at a high level since 2014 and that by now I should have been "fixed." How can I feel hopeful about things and stop feeling like it's too late for me? Thanks in advance.