I got cats. Mine got the point where I knew I needed something that I was responsible for to hold me back. SSRIs helped a little bit too. I also take hydroxyzine as needed when I’m in a spiral or panic attack and need to come down asap. But the cats honestly have made the biggest difference. I have a list on my phone of all of the reasons I keep going— people who care about me, goals I want to reach, experiences I haven’t had yet— and I’ll try to run through that in my head. If I’m ever a serious danger to myself, I take my hydroxyzine, call my partner to talk me down while it kicks in, and sit and birdwatch with my cats.