"Fentanyl Spiral: The Mental Unmaking of America" is a comprehensive account of the fentanyl crisis, framed not just as a public health disaster but as a systemic collapse unraveling the nation's social and mental fabric. The book traces the opioid's path from its creation as a surgical painkiller to its current status as a devastating street drug, fueled by pharmaceutical greed, failed policies, and cartel efficiency.

Beyond the staggering overdose death toll, the book's central argument is the "mental unmaking"?fentanyl's insidious erosion of users' cognitive function and personality, creating widespread street-level psychosis. It explores this crisis through the rapid descent of individuals, the brutal economy of vice funding addiction, the collapse of communities into open-air drug markets, and the failure of overwhelmed systems.

Despite this harrowing portrait, the book concludes with hope, advocating for a paradigm shift from a "war on drugs" to evidence-based solutions like harm reduction, Housing First initiatives, and integrated treatment, offering a path toward healing and restoration.