What is a good way to ensure that I do not forget to take my medication?
Here are some suggestions for making sure you remember to take your medication:

Use a pill organizer: This is a small container with labeled compartments for each day of the week. Fill it with your medication once a week, so you always have a reminder of what you need to take and when.

Set an alarm: If you're forgetful, set an alarm on your phone or watch to remind you to take your medication. You can also set a recurring alarm for the same time every day.

Write it down: Keep a list of your medications and when you need to take them. Put the list somewhere you'll see it every day, like on your fridge or near your bed.

Use a medication tracking app: There are many apps available that can help you keep track of your medications, remind you when it's time to take them, and provide information about side effects and interactions.

Keep your medications with you: If you're always on the go, consider keeping a small pill box with you so you have your medication with you at all times.

Involve someone else: Ask a friend or family member to remind you, or ask your doctor or nurse to provide you with a reminder.

Remembering to take your medication is important for maintaining your health, so it's important to find a system that works for you and to be proactive about making sure you don't forget.
What should I do if I forget to take my medication?
If you forget to take your medication, the best course of action will depend on several factors, including the type of medication, the reason you are taking it, and the time elapsed since your last dose. Here are some general guidelines:

    If it has only been a short time since your last scheduled dose: If it has only been a few hours since your last scheduled dose, you can usually take your medication as soon as you remember. However, if it is close to the time for your next scheduled dose, it is best to skip the missed dose and resume your normal schedule.

    If it has been a long time since your last dose: If it has been a full day or more since your last dose, do not take a double dose to make up for the missed dose. Instead, call your doctor for advice on what to do.

    If the medication is a controlled substance or has serious side effects: If your medication is a controlled substance or has serious side effects, it is especially important to follow the dosing schedule precisely. If you miss a dose, call your doctor for advice on what to do.

It is always a good idea to keep a list of your medications and their dosages with you, and to inform your doctor of any missed doses. This information can be helpful in making decisions about how to manage missed doses.
Okay, those are good ideas.

I'm worried if I forget to take my medication and destabilize somehow that I won't be rational enough to know it's a problem.

What are some ways I can explain this to my family and friends so they can help me? 

I'm trying to take responsibility for myself, but don't want them to think I'm at risk or crazy