<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, Ive been having trouble sleeping lately. I feel like Im not good enough and I get anxious all the time.  <response>: Based on those symptoms, it sounds like you may be experiencing a personality disorder, which commonly includes symptoms like insomnia, low self-esteem, anxiety, and nervousness. Have you been feeling like this for a long time? 