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Victoria,
Though your anxiety is painful and challenging, there is a positive takeaway from your anxiety: you care. You appear to care immensely for the things you have or want in your life, which may be a helpful point to keep in mind.
As far as achievement is concerned, it sounds like you have achieved a lot (running business, sculpting body, planning family). If your business is struggling, that’s ok. You know plenty more about starting and running a business now compared to when your business was just an idea. Even if your business doesn’t succeed, it doesn’t mean you’re a failure. It means you tried something and it didn’t work, and in the very least, that’s what I’m doing too: just trying something.
By setting goals for yourself, you risk disappointing yourself, which you feel you’ve done. From my perspective, you set goals for yourself, and you carried yourself further than you would have had you not set any goals and challenged yourself. If you get a free moment from your likely busy schedule, try reflecting on where you were six months ago or a year ago or five years ago and try accounting for how you have developed in the different facets of your life. Though you may not be where you want to be, you may have traveled further than you thought.
Let me know what you think if you like, and I hope my perspective helps.
Cheers