I have BP disorder and OCD. Despite taking gabapentin for the anxiety, I'm still ruminating a LOT. I use self-help methods, like writing, deep breathing, meditating, and talking to friends, but when my mind is really wrapped up in rumination, no self-help measures are effective. In fact, my self-help skills go out the window. They vanish.

If you deal with BP and OCD, I'd love to hear how you cope with ruminating.