My relationship is at this crux where my girlfriend (correctly and fairly) needs me to communicate that I want to eventually take the next steps: propose, get married and all. But I just have no idea what to do. My brain is telling me no, but I feel this visceral loss and emotional sadness when I think about not being with her. Very conflicted. 

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Make sure it’s the thought of not being with her specifically or just the idea of being alone. If you’re interested in being with her, then go for it. If you’re just worried about being alone, then continue to evaluate whether this feeling is serving you well or if there is something deeper.