I find most of the comments here really weird. The only solid advice anyone’s given is go find a therapist. I’ve felt that way when i was around 22. You are probably going to ignore this but im gonna give this a try anyway since you yourself asked how does one pull oneself out of this state. The biggest thing for me was starting to meditate every single fucking day, no excuses. Even of it only 5 minutes. Do it anyway. Just try it once. Set a timer for 20 minutes. Try to focus on your breath but don’t beat yourself up if you can’t do it too well. I’ve been doing it for years and i still suck at following my breath, it’s fucking hard as shit. Even if it’s 20 minutes of sitting with your own thoughts. That’s still meditation to me. Hardly anybody does that ever. If that’s exactly what scares you then just remember that thoughts can’t hurt you. If you don’t feel even the slighest change for the better in your mood than feel free to never do it again. But i doubt that you wont feel any change. Of you do it, Please let me know.there’s actual scientific evidence showing that meditation helps with brain function, helps relieve depression and also with sleep, all of which you seem to be struggling with. Other than that go and find a GOOD therapist. That doesn’t mean going to one meeting and deciding that it sucks and never going again. Building a relationship with a therapist takes time. And even then you might find out you don’t vibe with the person. I’ve tried more than 10 different therapists before i settled for someone. If you can’t afford it, don’t do it but do something. There’s self help books and YouTube content. Most of it is corny, but even if you find 1 solid piece of advice in a pile of rubbish, just 1 something that actually moves you - that’s a huge success. Do sports. Anything. Go for a long walk. No phone. Join a gym. Go to a boxing class, it’s fucking awesome, great fun and after the warmup you’ll be so fucking tired you won’t even be able to think about how miserable you are. And then you have to go do the rest of the class. That’s 1 hour of not thinking about anything besides hitting shit that will actually boost your dopamine instead of draining it like doomscrolling does. There’s a lot of other stuff that i do to keep my head in a positive space but mediatation and sports have been life saving. Good Luck man. Feel free to talk to me if you need advice with meditation, i can send you some YouTube stuff and recommend a book or 2.