Seek evaluation by a psychiatrist or qualified mental health professional
Use mood-stabilizing medications as prescribed
Consider atypical antipsychotics approved for bipolar depression
Use antidepressants only with caution and usually with a mood stabilizer
Maintain regular sleep and wake schedules
Follow a consistent daily routine
Monitor mood changes and early warning signs
Attend psychotherapy such as CBT, psychoeducation, or family-focused therapy
Avoid alcohol and recreational drugs
Exercise regularly as tolerated
Eat balanced meals and stay hydrated
Reduce stress and limit major routine disruptions
Keep regular follow-up appointments
Involve trusted family or support persons when appropriate
Seek urgent help for suicidal thoughts, self-harm, or severe worsening symptoms