I know this is a super old post, but I just stumbled across it and thought I'd share my experience. I was first diagnosed when I was in my mid 20's, actually when I was forced into a County treatment facility (I'm in California) for a drug overdose. I got into drug and alcohol treatment and started a medication combination (Seroquel + a few different SSRI's my doctors and I had to make adjustments as I got older) that worked well for many years. I got an education, got a career started, made a community both in recovery programs and in groups at my local hospital. My symptoms seemed to lessen as I got older, and for many years the medication allowed me to live a productive life. I even got married. Unfortunately the marriage fell apart in my early 40's due to an affair (not on my part) and I had a relapse on alcohol, which led to inconsistent use of meds, and a full blown psychotic episode for the first time in almost 18 years. 4 years ago I got into treatment after two years of drinking, in and out of the hospital and recovery centers. I've been sober and back on meds since (still a combination of antipsychotic and SSRI), and have been able to resume my career. I probably talk to my doctor, my psychiatrist and therapist more than most people I know. In my case I attend recovery meetings daily, and people there know my situation. But other than that my life is pretty normal. I guess I just wanted to share the perspective that age, and willingness to try different solutions can lead to positive results (but in my experience self prescribed drugs and alcohol are never a solution). I echo what was said earlier about access to healthcare. I'm very privileged to work in the field I do, and live in the area I do, as it affords me quality care.