It is an ever present ongoing reality for you that, as far as I can tell from what I have seen you post over a period of time, continues to spiral downwards. Digging in to find the truth of the matter, getting to the bottom of it, would be helpful for you. That is what the steps are for. We examine our behaviours, which increases our awareness regarding how and why we function in the world as we do; we learn what works and is helpful, and what doesn't work and is hurtful, to both ourselves and others, and our lives improve as a result... sometimes quickly, and sometimes slowly. Change does take time but we also learn to be patient with ourselves. The tape you listen to within the confines of your own mind sounds quite unkind. Many of us can relate to that. In the rooms they tell us, let us love you until you learn to love yourself.