For me it depends on the cycle.
I can't calmly and efficiently lead my workers or even make preliminary design decisions for them to work.
I've had 7 men on my crew before that I couldn't avoid. Devastating earthquake damage I had no choice but to go forward.
I'd cope by fretting and worrying the night away. Then line out everyone on their jobs and do inventory for following day. Go to dance class. Come home shut myself in my room for hours listening to the work. Then go check on everyone before quitting time, go out on the lake to fish or waterski.
Then drive an hour to Home Depot to load up on more materials.
I finished the house on the outside 6 years ago. Inside about 1/2 finished. Haven't been back for 5 years. My husband has been checking on house once per year.
Then the rental house got trashed. Had a crew of 5. Had panic attacks and headaches everyday. Did a full renovation inc new kitchen and baths.
Then I had another episode and ended up ip.
The story could go on and on. It's been my life's work. But it keeps getting harder.
A few years ago I was supposed to be here in CostaRica recovering.
I got all hypo and designed and started construction on a new house and art studio,an apt and a pool house. Also added a bath and new kitchen to existing house here
5 men were living with me non stop 24/6
Almost finished, I let everyone go. Later had another BADepisode.
Now, / years later I'm recovering. Trying to get motivated to design the granite counters and porcelain floor design. I have the materials. Not the desire yet.
I have 7 ongoing major projects to finish.
I can only work when slightly manic or hypo in a somewhat controlled state of mind.