It's reassuring to know that things can improve given time. Dealing with EC as a teenager must have been difficult. As for life management, that's a difficult one to articulate. My experience is very subjective and differs wildly from my wife's perspective. We decided to return home to London just before 2005 having lived in NYC since '97. I couldn't handle the stress of the commute to downtown Manhattan. The job itself was fine but the reaction from joe public (staring, pointing, laughing) was humiliating so I resigned from my well-paid job and we decided to return to the UK. I went back to university. Right now I am trying to focus on the simple things in life, like just enjoying it. However, that consumes enormous amounts of energy and I find more often than not that I return to type and become frustrated. Recently we fostered an 11 year old girl and I find that focusing on her needs rather than my own tends to alleviate much of the negativity and frustration caused by EC.