Imagine that life is a sequence of car races, and you are the driver of a sports car.
For various reasons, you keep consistently losing races, and you want to fix this. Losing races consistently is making you anxious and depressed a lot of the time!!
There are three factors at work it seems:
1. Your car has its own design strengths and design flaws;
2. Your driving skills had better allow for adjustments to leverage the strengths and compensate for the flaws in your specific vehicle, and sometimes they really don't;
3. There is a "fly-by-wire" computer chip that uses automated programs to interpret your driving commands into making your car do certain things in specific circumstances, and some of the subprograms do the wrong thing at the wrong time no matter how you drive.
I have tried meds. They are like say, increasing your cars' breaking strength or transmission variability or engine power, all the time. In practice I find this solves one problem, only to create a new one which is as bad as the original problem. I've been at this for 19 years and I have never found anything that solves more problems than it creates. That's why I don't use meds anymore and don't miss them, as they feel almost like making too many radical low-level adjustments to my car's mechanics and electrical system. That works great for some cars, it doesn't really solve much with mine at the end of the day.
My car's computer chip and my driving method seem to have a LOT of subtle little problems. That's the thing - no major maladjustment, but a laundry list of smaller situational ones that in the aggregate make me feel like my high end Maserati is driving like a dump truck with 200,000 miles on the odometer. I've been told there's nothing massively wrong with the chip or my driving, but they just don't cooperate well in too many specific situations.
The thing is, how on earth do I alter my driving and reprogram that chip WITHIN MY LIFETIME(!)?

I desperately need some formula for organizing and accelerating that process. Therapy and aggressive self-help has defined the problem well, I think. What neither has done is create an adequate methodology for permanently solving it. I'm excited and guardedly optimistic about finding one, but confused as to what to do next.