The most important thing during illness is to offer to God patience and thanksgiving for His merciful visitations. Sickness purifies sins and gives one time to meditate on the past.
'Fear of the Lord is the beginning of wisdom' (Prov. 1:7). For where there is fear, there the commandments are kept, and where the commandments are kept the flesh is purified, together with the cloud that envelops the soul and prevents it from clearly seeing the divine radiance.
Wherever we are and whatever our circumstances, the enemy always tries to prevent us from actively responding to the call. Pray for help. For help that you may never fail to respond. And beware lest, having received help and having done the right deed because of it, you should grow proud and acquire the habit of condemning others, in the secret chambers of your heart. Beware! For this would make all the fruits of your good works wither.
The best medicine for pride, man’s greatest sickness of soul, is humility. Words cannot describe or explain it, but the Fathers say that he who strives hard to live according to the precepts of our Lord, and is fully aware of his own sins, acquires it steadily. Therefore be very careful never to think yourself good, or the least bit better than others.
As earth thrown over it extinguishes a fire burning in a stove, so worldly cares and every kind of attachment to something, however small and insignificant, destroy the warmth of the heart which was there at first.
It seems to me that few people understand the extent of the cunning wickedness of these demons and the way in which they assist one another. I have known the demon of cowardice to fight and work together with that of listlessness. One comes to the aid of the other and reinforces him. The first brings fear and obduracy into the soul, the second produces darkness, negligence, blindness of heart and mind, and finally despair. Listlessness is a real trial for all those engaged in the spiritual struggle, but it becomes for them the ambassador of humility.
He who knows himself pays no heed to the sins of others, but looks at his own and is always repenting over them; he reflects concerning himself, and condemns himself, and does not interfere in anything apart from his own position.
Remember always that, once we have decided consciously to strive after righteousness, we cannot escape catastrophes and sorrows, no matter where we are.
To wage war only with the sins that make their appearance as actual deeds would be just as unsuccessful as cutting down weeds in a garden instead of digging them up at the root and throwing them out. Sins appear as inevitable outgrowths from their roots, the passions of the soul.
I suppose that it is sometimes better to fall oneself and rise, than to judge one's neighbor; because one who has sinned is incited to self-abasement and repentance, while he who judges one who has sinned becomes hardened in an illusion about himself and in pride. Therefore everyone must guard himself, as much as possible, so as not to judge.
A life lived in the world can be as good, in the eyes of God, as one spent in a monastery. It is indeed only the keeping of God's commandments, love of all, and a true sense of humility that matter, wherever we are.
Even a pious person is not immune to spiritual sickness if he does not have a wise guide -- either a living person or a spiritual writer. This sickness is called prelest, or spiritual delusion, imagining oneself to be near to God and to the realm of the divine and supernatural. Even zealous ascetics in monasteries are sometimes subject to this delusion, but of course, laymen who are zealous in external struggles (podvigi) undergo it much more frequently. Surpassing their acquaintances in struggles of prayer and fasting, they imagine that they are seers of divine visions, or at least of dreams inspired by grace. In every event of their lives, they see special intentional directions from God or their guardian angel. And then they start imagining that they are God's elect, and often try to foretell the future. The Holy Fathers armed themselves against nothing so fiercely as against this sickness -- prelest.
You describe how bitterly you regret the inefficacy of your prayers. Beware: to wish for consolation or revelation in prayer is a sure sign of pride. Pray humbly, in perfect simplicity, seeking salvation only through forgiveness, & having faith that God will extend to you His mercy - as He did to the publican.
Our holy fathers have renounced all other spiritual work and concentrated wholly on this one doing, that is, on guarding the heart, convinced that, through this practice, they would easily attain every other virtue, whereas without it not a single virtue can be firmly established.