Hmm I started having psychosis at 11, depression was something I always dealt with as a child, I went to counseling for depression at five years old. My first clear manic episode was at 13 years old. I was dx at 17 and I'm 33 now.

It did get worse over the years. Like you, much more vulnerable to stresses an routine changes, seasonal changes ect. This last year has been a whirlwind. I have have went through the worst longest mixed mood that I've had yet, but for that last three months I have been the most stable in what seems like forever. For me the meds have never helped me out that much. It wasn't until I really started focusing on all aspects of my being that I started to experience any real relief.

But I do have fear of worsening even more over time. Hopefully I can find a way to move in the opposite direction. For me the mania has gotten worse ( almost always dysphoric mania ) and the depression has gotten better. I chalk that up to me having more skills and tools for depression tho.