Action is what I find mosty critical in these situations. Taking some kind of action. Anything is better than nothing. For me, aerobic exercise is the most useful thing by far.

The other thing that has been very helpful to me over the years has been medication. Specifically, things like modafinil, Provigil, or Adderall, Now, many, many people on this board feel very strongly that this class of medication should basically never, ever be used in us. My pdoc does not agree with that and neither do I. So, I would urge you to read about it and see what you think. The risk of psychosis from the judicious use of stimulants in patients with bp 1 is very low. My pdoc has been doing this for 25 years and says he has still never seen it yet. I recognize and respect that many smart people here become irate when they hear this sort of talk because they so disagree and that is great. But we all have our own experiences.