I journal. I don't do it with any regularity but writing is a major release for me. Several years ago, when I was hyper religious, I kept a daily prayer journal. I had notebook after notebook filled with prayer, Scriptures, all of my praises and all of my anguish.

When I was better, I had to throw them all out. The pages were filled with conspiracy theories and paranoia that was disguised as prayer. I spent the first hour of my day with the Lord both when I was well and when I discovered that my thoughts were delusional. When I believed those delusional thoughts were normal, I believed that every prayer I prayed was going to come true because I was chosen and because everything I spoke came directly from the Holy Spirit. That was stressful in it's self.

When I journal now, it helps both my pdoc and my t know what is going on in my head and if I have anything concerning going on.