The Anatomy of my Heart (sketch)

A very personal, venting artwork I've been trying to mull over for months. Because I don't want anyone theorizing about the content, I'll directly explain it
Heart: Obviously my heart in a physical and emotional sense.
Wilted Rose: Love, and the fear that I'll never find love again in my life. The thorns are the pain of being alone. This also represents ugliness and how I think I could be beautiful but am not.
Injection Pen: The needle pen in the bottom left, is an Insulin pen, representing my struggles with Diabetes and its limitations
Claw on the right: Represents my panic disorder and how it can entirely cripple me, as well as the physical and emotional pain of having panic attacks.
Claw on the left: Less prominent but still limiting is my anxiety. It goes hand and hand with panic but can also be entirely different. It more scratches at me than cripples me. 
Spider and Black Markings: The spider and the black markings were my hope to be the most prominent of anything in this picture. These represent all of my fears, and no not like fears of spiders or the dark, but fears of the future, of panic, of loneliness, ect. My life is built on fear, and the structure is very unsteady.
Cockroach: The cockroach crawling out shows the depth of the poisonings of fear in my heart. How it has turned into a nest for ugliness and limitations.
Please don't say anything about the quality of this, it is a sketch, I might finish it.