I have just gone back to meds after six years of being off. I never admitted I had bp2 so that's how I got through it lol. I think it's ultimately up to you. If the highs are negative sky impacting your life, you may consider meds. But also look into alternative therapies. I read a blog once where the writer cut all sugar and refined grain out of his diet - too much for me but maybe doable for you. Also, try getting some workbooks like the dbt workbook for bipolar. That is what I plan to do once my moods are less severely interfering with my functioning. I have not yet committed to spending the rest of my life on meds :-/