Multiple issues - where to start?

[qumquat]

I am so sick of everything being a vicious circle.

I have chronic insomnia - made worse by depression, anxiety, ocd and binge eating.

I have an eating disorder - made worse by not sleeping, depression, OCD and anxiety.

I have depression - made worse by binge eating, insomnia....

You get the drift! Where do you begin when everything affects everything else? I am 40 next month and if I'd honestly realised I'd still be in this state now I'd have killed myself aged 20. I can't cope with another 40 years of this.

I've had lots of therapy. I'm on 40mg of citalopram a day. I try to do yoga and mindfulness and breathing exercises Is there anything else I can do?

Anyone?

I didn't want to read and run
Can't help much as this is basically my life too (not identical issues but that they all feed into each other).
The only thing I have ever found that helps is medication and counselling. Both at the same time.
So I will start counselling, but be aware that my problems may initially get worse so I'll need more anxiety medication, possibly sleeping pills etc. While I'm working on my issues.

Exercise might help too. It's so damn hard to get started but once you are the feeling is unbeatable^^ I need to start again

Good luck, I hope you find a way to break some of those patterns and find something that helps. Keep trying, that's what I do. Just keep trying to find the magic formula that makes life manageable/bareable/better

Thank you. I'm just so tired. I have a 5 yr old and I want to get better for her. I just can't do it.

@qumquat I know how you feel
I'm always: "mummy's tired, mummy's in pain, mummy's got to deal with x y or z, mummy's got to go to her appointment, mummy needs to make this important phone call" etc. They're in childcare all week and then I'm just too drained to be interesting/fun/relaxed etc. I wish I could just snap out of it and on occasion I can, but mostly I'm just burnt out.