For me, I can go a while without medications, but eventually it catches up and an episode will make me realize that I have to be medicated.
I have been off my medications for my pregnancy and was ok for 90% of my pregnancy, but last month I had a manic episode and it was REALLY tough.
Everyone is different though ... it's something that you need to figure out with different medications and just trial and error.
I hope that helps!
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"I'm selfish, impatient and a little insecure. I make mistakes, I am out of control and at times hard to handle. But if you can't handle me at my worst, then you sure as hell don't deserve me at my best." - Marilyn Monroe
Sometimes I lie awake at night and I ask, "Why me?", then a voice answers "Nothing personal, your name just happened to come up."
~Charlie Brown
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