I'm not American but I live in the EU. I don't stay sane, I just am insane like a lot of people here and comrades in general. I'm deeply depressed and suffer from autistic burnout which has prevented me from working for some time. I try to vary my activities but a lot of my time is spent just getting high and playing videogames, which isn't the most harmful cope I guess but it can be mind numbing. alcohol is the mind killer, I'm an alcoholic too but have had a good amount of control over it for the past year or so. I just take things one day at a time. i try to keep learning, reading theory and history as well as fiction when I have the energy. i think the best thing you can do is go outside and foster real human connection but it's hard. I'm lucky to have my gfs who I love, I couldn't go on in this struggle without them.