You may know the spiral well: It starts off as a single worry, such as how tonight’s date will go, whether you made a mistake at work or what an abnormal medical test result means. Then it takes on a life of its own. What if they don’t like me? and What if this result means something serious? become What if I never find someone? and What if I’m dying? Potential outcomes spin off into terrible futures, and next thing you know, you’re fielding some flavor of What if everything turns out terribly and nothing is ever okay?!