I have had alot of the same issues in the past and hell I still do... My Therapist helped me put together a bag of tricks. I have " poor impulse control" <~~ for real, kinda explains alot of my past .

Honestly the best coping skills I use are self grounding and making a deal with myself to put off any type of decisions ( big things, not the gallon of ice cream I want to eat right now ) for at least a week.. I also do a lot or pro/con legal pads. I have often come here on PC and ask my friends if I am being smart or not. ( Thankfully i get honest responses)

" For me "this is not a situation that medications are going to change my sometimes faulty thought process.

*** trots to the kitchen for that gallon of ice cream**