I guess it's like everything else... all in good measure. Not too much in one direction or another. I'm hoping really hard I can do okay without meds. I went on them a couple years ago in hard circumstances. The only way to know if I am beyond needing them is to try without. If I still need meds, I won't hesitate to get another doctor and try again. The doc I'm using is prescribing some pretty out of the norm stuff.