I was med free for 10 years post diagnosis. I tried everything from sleep regulation to nutritional therapy, yoga, regular massage, meditation but for me, it was not enough over the long haul. I have elected to take a lower than normal dose of Lithium so that my moods are more even after having one VERY bad depression recently. So for me, it was doable for awhile, but inevitable and unavoidable that meds needed to be in my life. I don't want to feel my personality is squashed so that is why i take a lower dose knowing that i will still have some mood cycling. I hope you find what works for you! cheers.