Agree with the comments on meds, if you can see about getting some it would be helpful. Not all drugs work on all people, but most people can find some drugs or combinations that help...
What else???? Education: there are heaps on online sites with information about bipolar, and heaps of good books, there are links and posts on this site to help. Two of my favourites are:
www.blackdoginstitute.org.au which is a really medically based site, and http://www.psycheducation.org/ which has a lot of information about bipolar spectrum and other options for management.
The more that you know about the illness the better you can deal with the challenges, especially if you don't have many services available.
Things that might help:
sleep/wake discipline (ie go to sleep and wake at same time each night)
light therapy (helps with sleep/wake and seasonal affective disorder)
exercise (a proven anti depressant)
mood charting (being aware of where your mood is and what affects it)
identifying and avoiding triggers
identifying behaviours that improve moods
with regards to psychotherapy, I was just discussing this with my therapist last night and he said the problems are not going to go away, so if its a bad time to deal with it (ie work, study or stress etc) then its ok to just let it wait.
I have always gotten the best out of my therapy when I have been more balanced and cohearent... So if you do go to therapy, try to focus on coping strategies rather than dealing with big issues until you are feeling more in control...
Hope this helps...