I think the vast majority has a bit of self awareness when it first starts...

I usually have great self awareness but a few times I went from 0-100 in a matter of hours.

Before I moved I was seeing my T weekly and it was helpful to go so often as he could sometimes see things I could not.. It wasnt always a med change in need, I mean if I changed or increased meds each time I would have run out of meds to use...

Self care does alot of good if it can be used early... but its not always going to work.