I took no medications in my thirties but had one manic episode with psychotic features when I was 40 stopped medication stopped meds after 2 -3 years but had another hypo manic episode at 44 requiring hospitalisation so now at 46 I imagine I will continue taking meds until I'm 50 and evaluate then. As a parent being unwell is too disruptive to my family so I not prepared to take the risk and rarely miss taking meds twice daily... But I am sure there are many who manage their illness in a variety of ways...without meds.( I also took Meds in my twenties)