it was nerve racking when I was first diagnosed, trying to find what combo worked. Now that I have a good combination I still need to add some meds in between to help stabilize or tweek the ones I am on. I still have my ups and downs just not as severe and the manic/depression phases haven't lasted as long as they did before meds. i don't want to be "pre-med" again and once I realized that it made it easier for me. Jen