I was diagnosed late in life with Bipolar 1. I had mania, depression, psychosis, delusions, and hallucinations; the whole nine yards. I was prescribed Lithium and Ability originally and both gave me severe side effects. My psychiatrist is very conservative (which I like alot) and put me on 200 mg of Lamictal and 300 mg of Seroquel. I've been able to reduce the Seroquel to 25 mg under supervision and without any problems. Sometimes I think I would really like to go off the Lamictal but I know I won't. I wonder if I could hold my own but the price to pay could be very steep. I feel like myself now. I'm not groggy or drugged in the morning and don't feel medicated the rest of the day either. I think my drug combination and dosage is as close to being med-free as possible and yes, long story short, I think it's possible to manage a less severe case of Bipolar without meds. I would reccommend following all the advice given above and let your pdoc help you make the decision.