In my case I've gone two years stable, but my stable always has a low level of depression I think. At the very least I have some brain fog, memory loss. I have had three manic episodes that launched right away into psychotic level, each lasting a week to two, maybe three weeks, including two that I ended up involuntarily committed to a psych hospital. I don't cycle. I did have some hypomania some years ago but not any more. I take only an anti depressant and an anti psychotic.