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Practical self-management approaches include: Maintaining consistent sleep schedules to support emotional regulation Engaging in regular physical activity, which benefits both weight loss and mood Practicing stress-reduction techniques such as mindfulness or meditation Keeping a symptom diary to identify patterns or triggers Staying connected with supportive social networks Avoiding alcohol, which can exacerbate mood instability Patients should never adjust medication doses independently

That might imply beginning with small doses or incrementally building in activity