I'm not sure if you can echo this, but I've been in negative spirals in the past and the only thing that really helped me get out was to focus ALL my efforts on

I'm not sure if you can echo this, but I've been in negative spirals in the past and the only thing that really helped me get out was to focus ALL my efforts on creating a positive spiral to counter the negative one. It often started with questions like - What is the the thing making me feel the worst at the moment? - What is the largest small thing I can do with my current energy to offset my biggest problem? For example, one time when money was really bad and I knew I'd get some money from tax returns, I focused all my energy (to the exclusion of other things even work) on trying to get it done, which resulted in some money and reducing my pain. This allowed me to re-focus on the next small challenge that I felt I could tackle reasonably well. Sometimes the spiral is so deep and the challenges so multidimensional that it's hard to pick on the right thread of the ball of yarn to start making progress, but it's possible.