There are things you already know, with a high degree of certainty, that if you started consistently executing, would dramatically improve your quality of life.
These are things that would chip away at your deeply rooted insecurities and recurring life problems, gradually dragging you closer to your ideal self.
Acting on these things, these things you have long known would positively impact your life, is taking your medicine.
Take your medicine. It's going to taste awful at first, but it's easier to sleep at night knowing you're on track to a healthier life.