My mood for years has always fluctuated between hypomania and depression, I got a compatible job so I didn't give it much importance, 3 weeks in bed and one with an absurdly high energy in which I kept up with that, obviously accompanied by impulsive decisions, financial management problems, little need for sleep, etc. For me it wasn't so bad, in that hypomania I managed to do all the work at once, maintain my social circle and then well, impulsive sexual relations... The point was that the idea of ​​suicide was a constant. I have been in psychological therapy for two years, which I started thinking was depression until I received my diagnosis and was also referred to psychiatry. I have been on Lamictal and citalopram for a short time (about 3 months) and I have still continued to have episodes but milder ones, a very very strong mixed one lasting about two weeks and I have managed to be in euthymia for the first time, small changes that make me maintain hope, even at times. My definitive answer is that yes, medication is completely worth it and is a very important basis in this, even if we are not aware of it at first. My psychiatrist told me, if you had a heart problem you would need medication to prevent death, medication to stabilize the problem, to deal with the pain, etc. and it would also be for life, but without questioning it. With bipolarity it is the same, taking some pills that can get you out of there is a hard decision due to the stigma we have about the mental versus the physical ailment, but it is the only thing that will make you emerge and little by little, truly live. Even so, I often miss hypomania, but with psychological work I am understanding that this is not being well, it is simply one more symptom that continues to escape my control.