You just keep putting one foot in front of the other. That's how I'm managing. It's the only thing right now keeping me alive. New meds aren't working, but why should they neither did the last ones. But I try to stay in the moment and not let my brain tell me lies. Life can change in a moment. Can't tell you how many times I have been at the end of my rope when a sudden mood change made all the difference. We just have to hold on during the rough time.s