Whether the collapse is "out there" or "in here," the sense of losing our mind, our self, our loved ones, or our livelihood is terrifying, and the real threats of catastrophe are debilitating. Knowing what we want becomes increasingly difficult, and we struggle to take shape and hold on to ourselves in the presence of others. We fold up or fold in to protect ourselves and our relationships, but then aloneness, desperation, panic, and self attack set in.