Running 2x as hard and as well as anyone else, and still not getting what you need. I know. Me too. I don't have relationships with my family, I have one friend who lives far away. The only path I can manage is to focus on what I can give through my work, and not what I need from others because it will never come. I work for a non-profit, raising money to support programs that genuinely help people, authentically. I am a fiend about devoting my time to efforts that are humane and fair. It's about the only thing left that motivates me, because it's not about perfection in my own performance, it's about reaching out and giving. Our decision paths and reactions to life are really hard compared to whole people, and we don't have a lot of consistent tools to make good choices and have a healthy outlook. Since I can't get what I need from people I have decided to give, to take the high road, to contribute to the world. In the absence of a personal support network it's all I can come up with as a life path given my sickness.