A “death spiral” 1 – is where the mind spirals out of control where a person can only think of one’s own death.
CAUSE: It is in response to / or triggered by a chemical, social, or deep psychological trauma.
Chemical – examples could be AFTER from drinking alcohol with on antidepressants or mood stabilizers where the “death spiral” normally occurs 8-24 hours after “binge” drinking.
Social – perceived extreme social embarrassment, examples include Tyler Clementi pranked on webcam of his sexuality (reference 2 below).
Deep Psychological Trama – These are items which occur in a persons life which are one time event to deeply traumatic and high on the life change scale3 or several small events equal a high number on the live change scale.
1) Remain calm, you are not alone!
2) It is recommended to go to your emergency room or contact a professional or even an suicide hotline.
3) Enclosed which may be helpful but it for *information purposes only* and not written by a doctor nor does is substitute for seeing a doctor.
DISCLAIMER: The following not official the treatment and is not a replacement for going to the emergency room, calling your doctor and undergo professional observation during this time.
DURATION: This state lasts between 12/24 hours, the person/you should be under “safety” observation during this time.
However if home/self care must be conducted I have the following to work:
GOAL: Get through the next 24 hours safely known as the “the critical period.”
REST/SLEEP – You should be in safe place away from any instruments of harm and ideally be with a loving / supportive person where you can rest.
Rx: Prescription approach to mental pain, a prescription tranquilizer coupled with an therapeutic dosage of an antipychotic class medication (under physician approval as part of an emergency medication plan is ideal, with notification of the doctor that they are under home care)
Or HERBAL: Alternate Herbal Therapy hyland’s calm forte (5 tablets) (act as a tranquilizer*) plus a base dosage of Kava Kava (300mg) (acts as an antispychotic*) , repeated in 8 to 12 hour increments as the person wakes up.
STABILIZATION: After 24 hours, ideally the personally should be professionally evaluated for suicidal idealization and taken in for professional treatment.
LONG TERM: The person working with a therapist or a support group(s), should become aware of their physical and psychological limits. They should work to build support systems and a lifestyle which is more healthy or ways to prevent destabilization.
PROGRESS: A “Death Spiral” and other psychological events (like panic attacks) should be recorded when they occur (date/time), and how long they last (duration). Progress is made when person has less events and the duration becomes shorter.
Note: This article does not take the place of professional help or going to your local emergency room.
1- Formal DIAGNOSIS also known as: psychotic episode of suicidal idealization coupled with paranoia, or psychosis coupled with suicidal idealization 2 - Ref: http://en.wikipedia.org/wiki/Suicide_of_Tyler_Clementi 3 - Holmes and Rahe Stress Scale * - Calme Forte:(Oats, Camille, Hops, blend of Salts) & Kava Kava - herbals are not clinically proven by the FDA (US), however supported by the Commission E (Germany)