I think/hope that the "things will get better" hinges on the typically unspoken assumption of "IF you get the help you need and are capable of accepting it" ... THEN "things will get better".

Things CAN get better. They didn't get this bad, however bad "this" is, immediately and so it will take time and possibly tremendous effort, but...

It's a semantic cartwheel which from a place of desperation may be impossible to see.