Every spiral is a spiral into or a spiral out of, and we are with her as she is spiraling into a kind of break that will land her in a hospital by about midway through the book. There, alongside her, we come to know more and understand more about her life.
This book is written in very close first narration. There’s even beyond close moments where she’s taking in the various media and sounds of the world around and moving in and out of memory and free association. It’s a little on the nose to call the novel breathless, but in the way that the narrator cannot break away from her experiences, neither can we.