I've been feeling that same spiral and pretty much didn't work this week. I've wondered what is best to do.

Waiting for spring break ...Just need a change of scenery

I've been hospitalized twice. It has helped significantly - in may be best. I'm debating whether or not a third time may be needed.

Someone asked have you been hospitalized? If not, you will find that it isn't all those scary things you think it is. It actually is helpful