I personally think a lot of people lead lives never having a dx of bipolar, but if they went to a psychiatrist they would get that dx. My pdoc took about 3 years to change my dx from depression with adhd to BP. So, no, I don't think you *have to* take meds unless you really need that relief. I believe some can deal with it with natural remedies, and probably a lot of therapy would be key. You're not ignoring it, you're dealing with it, so you'll be ready for in case it gets worse. Talking with a psychologist is a great idea, they won't write you for meds, but can help you decide if that's a route you want to take, and give you referrals to pdocs, and they can provide you with valuable therapy.