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If racing thoughts exist without medication too. I would look at CBT to help with that. They will probably also look at mindfulness and meditation exercises to give you tools to deal with it when it starts.

It depends on what the thoughts are as to what will work best, if they are beliefs or schemas about yourself, random ideas or memories. What they are could mean they have a different purpose.

I have them regardless of treatment, mostly ideas for things to research, or questions to answer or creative things, sometimes I just need to record them and know they are captured somewhere. Like a voice recorder. Because years of trying to remember things means when I have an idea, sometimes, I'll run it over and over and over again to make sure it doesn't get lost. Capturing it and putting it somewhere safe means I can let myself move on more easily.

I do have elevated blood pressure that is now slightly on the "hmmmm lets watch that" side, but I had very healthy blood pressure to begin with and can thankfully adequately manage it with some medication.