I'm having similar difficulties. I can't seem to get out of my own way. While I have considered going back to therapy, it has been detramental in the past, and I'm afraid I am too fragile right now to risk it. However, a friend of my mother's brought an alternative to light.

Have you ever heard of a life coach? They help you set goals, keep your focus, and see the different paths to achieving them (they would stick with you throughout the process)... from all aspects of your life whether it's personal, emotional, or even targeted towards your career. In particular, my mother's friend also using hypno-therapy. It's not for everyone, but I thought I would just mention it.