Currently 50% of my anxiety when it comes to my bot is related to database matters. There's no type checking so I gotta be careful when writing them, and stuff might blow up weirdly at runtime. Refactoring tables is also a major pain, or at least was until I (sort of) figured out a 'routine' of how to do it.
It's doable, and I assume that teaching myself some basic SQL and using it in production was a great learning experience, but once I'd reached the point where I was inventing database migration tooling from first principles and considering how to implement that, I realized that I probably just want to look at SQLAlchemy again.
Putting it all together is another blog post. And if you have colleagues: probably needs documentation. Which you also have to maintain yourself.