Sometimes you just cannot do it all. Can't get everything done. Find it impossible to fix yourself, be your best, do what's best for you.
You haven't given up, but in the middle of giving life your best, it's getting the best of you. Things are getting worse. Life is harder and harder and you just cannot get a handle on things, or control everything.
Time to give up. Surrender. Throw in the towel and face the realities of living: you just cannot possibly do it all by yourself. You need help. You need guidance. You need energy, time, patience, and fortitude. Love needs to save the day. What you need is a miracle, divine assistance, beyond what this old world can ever totally provide.