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To establish my surviving shitty states credentials: I grew up as a queer kid in the rural Bible Belt during the Clinton and Bush (both of them) years. The current environment may not be exactly the same, but IMO in many ways it’s very similar to the community I grew up in (extremely conservative, racist, and vindictive).
So, here are the things that kept me comparatively sane:
Watch subversive media, whatever that means to you. Being reminded that there is a wider world with people who aren’t like the ones surrounding you (whether it’s your family or wider community) is a powerful hope generator
Connect with similarly minded people in your local community, if you aren’t already. You might need to drive to a college town for this one, depending on your area. Having IRL connections with people who aren’t bastards will keep you sane
Find the joy you can, and make it when you can’t. If you don’t find things to be happy about it will seriously kill you. There’s always stuff to be miserable about, so don’t worry about overdoing it in the joy department
Do something you find meaningful. Volunteering, clean ups, whatever you feel drawn towards. Doesn’t even have to be anything official, like checking in on your loved ones
Get some healthy eating and exercise in when you can, too. If it doesn’t improve your mood it’ll at least let you sleep and poop better