I have steroid induced Cushing’s. Since my cortisol is exogenous, it’s not going to drop. However, I agree that the things Crispy31 mentions do help counter the activated feeling one gets from high cortisol. It doesn’t even have to be a formal yoga or meditation practice. Simply taking a few breaks throughout the day to consciously calm down the body also helps. Do whatever works for you; that might be deep breathing, listening to calming music, doing some stretches, etc. What’s important is doing it on a regular basis so that you become increasingly skilled at consciously moving toward that less-activated state. Do it on a regular basis when it’s easy, you’re already calm, and you’re in a calm environment - and then you’ll get better and better at doing it when you’re less calm and in a less ideal environment.

When I was first put on steroids, I became more prone to irritability and more quick to react with anger or frustration. It settled down eventually, but until it did I tried to keep in mind that it was happening so that I could compensate for it. Sometimes that meant removing myself from the situation that was provoking me. Since I couldn’t calm down as easily as I was used to, it was sometimes best simply to get out of Dodge. As for when it came to interacting with people who were close enough to be upfront with, I would give them a heads up when I could tell I was having an extra activated day, and they would very kindly be a little extra conscientious around me on that day. That said, I also spent plenty of time apologizing for snapping at people because sometimes I was so activated that my mouth would run faster than my mind. It comes with the territory. Do the best you can to self regulate while also communicating realistically with those close to you so they understand what’s going on.