Yeah I get the time limit is super hard especially when you factor in the learning element on top of that, I ran in to that myself.
And to clarify having a text based game is totally cool. I liked the writing and I liked exploring and all that stuff. It was just the treating the malady loop specifically that I found didn't have much fertile ground for me, again it could be a personal thing, just because it always felt obvious what to do (like I didn't feel like I was choosing it really) and being able to restore all your sanity by pressing bolster spirit a bunch and basically starting over really reduced any tension for me.
That being said your game is more than just a mechanical loop, and I enjoyed all those aspects.