I can't speak for everyone, but for me at least, my symptoms surface in a major way in waves. Once in a while I'm able to calm myself before things get out of hand. I'm  just curious what, if any, strategies you guys have to keep in mind? Anything that might help you? I think mine aren't the most healthy necessarily a lot of the time but I often feel it's less damaging to stifle a grand and immediate "episode" quickly rather than take people down with me while I try to do so constructively. I respect that everyone has their own unique situation. Maybe I'm the only one thinking this way. I certainly hope so because I do know it's not the most positive or responsible of tactics. Anyway, just curious!