I've always had trouble with what you describe. I wanted out of almost everything - my job, my life, my location. I want to move somewhere quiet and do something I like that supports my family.
I am famous for self-destructing, especially when it came to jobs. But I accept now that those were decisions that I made.
I also have trouble with snap decisions. IMO, the best way to deal with my mania (now) is to get ahead of it and not let it eat me up. I meditate, take my medication (Depkote), try to be mindful and not rant on and on, eat well, sleep well, and most importantly, avoid booze because that throws *everything* out of whack. When I drink, I forget things, don't sleep well, eat too much or too little, and things like meditation and mindfulness are useless when I'm hung over or intoxicated.
IMO, it's all day to day. I am getting better at it.
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