## The troubles of my heart are enlarged ##

AT: "The troubles of my heart have increased" or "I feel very troubled in my heart"

## draw me out from my distress ##

"bring me out of my distress."  AT: "rescue me from my distress"

## my distress ##

AT: "the things that distress me" or "the things that cause me to be afraid"

## my affliction ##

AT: "the things that afflict me" or "how afflicted I am"

## they hate me with cruel hatred ##

AT: "they hate me cruelly" or "they hate me fiercely"