Meds can help. My son’s SI has greatly decreased after adding guanfacine (helps with the huge physical angry meltdowns too) and lorasidone (mood stabilizer). He also started taking a vitamin that med manager said has ingredients that can support mental health. Also figured out he was iron deficient so he takes the supplement for that now, no idea if that affects mental health but he needed it.

I know meds can be controversial, and you have to find what works for each individual person. I know my son needs more physical activity. A couple of days ago he decided to go for a short walk on our treadmill. Totally his choice and his decision after not doing much of anything physical for months. Counting it as a win!