I had to really admit I had problems. I sought out professional help, went on proper medications (I have adjusted both over the years based on need and efficiency). I have engaged in more fun, thought provoking activities. I ensure I get my proper rest. I relax my brain and mediate. I also develop a healthy balance between personal, professional and social engagements. I no longer over exert myself, use "No" effectively and I get my me time. I also have a great circle and good barometers that keep me in check and level..
I have been able to maintain well the past two decades and not only not have any episodes, I have also helped others conquer their demons and find peace.
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