IV I know of a man, who had a very traumatic childhood, he scored as high as I did in the ACE study with 9/10 (adverse childhood events) he says he recovered in 3 years with psychotherapy alone, 3 times a week. He was the CEO of a software company and could afford this type of intense psychotherapy, he also kept a daily journal and is very intelligent.

Ultramar I never said Bipolar don't need therapy, if it came off that way that is not how I meant it, I simply meant its easier to manage with conventional methods than borderline personality disorder. I already knew that about the break through and the psychosis, a good friend I grew up around is bipolar - schizoaffective and always quits taking her meds. She hates her meds, but the people around her hate her when she is not on her meds because she is loud and can become extremely violent during a manic episode. She was doing best with a monthly IM injection because then she didn't have to keep up with her cocktail of drugs. She was as stable as I'd ever seen her when she was taking the shot. Then for some reason they changed to letting her administer her own medication again and she fell off the deep end again recently and had to go back to the psych ward for stabilization. Like all mental health disorders there is a range of severity from the mild, moderate to severe.

I also like the term emotionally unstable personality disorder better, but honestly I don't care either way. People are ignorant about mental illness in general and there will be stigma with every disorder, even depression.