Potential triggers: suicide, addiction. Sorry about that.
Submission for DEDPXL assignment #7, "The World Has Changed".
1) This is a work of fiction.
2) I don't know anyone named Gloria.
Lit with one Nikon SB-400 at half power, taped to an improvised stand and through a DIY cardboard snoot and grid. It looks even worse than you are imagining.
I have never been more nervous about uploading a photograph to Flickr: (a) it's self-portrait, (b) it's going into a pool where I suspect there will be very, very strong conceptual images that are incredibly well executed, and (c) the subject material is potentially disturbing.
You can read a blog post about my DEDPXL fixation over the last 8 months or so here, if you're interested.