I'm on medication because I went back for help after a real 'good' euphoria and I knew that I'd crash hard. My husband was already seeing help and I decide I needed therapy so that I didn't end up hospitalized by my husband's therapy. That way I could advocate not being hospitalized and put on meds. Well I went to intake and after 4 hrs and some craziness I had an appointment with a psychologist and psychiatrist.

I told the psychiatrist I didn't want medicine and he gave me medicine options then we talked about random science and tech stuff. By the end he convinced me without meds I'd crash soon. He answered my question about what medicine he would take if he had to, without hesitation. So I left confident in trying the meds and that he would have stuck by my decision. If I decided no meds again he'd stick with me but would never give me lamictal.

My psychologist hates dx's and absolutely shys away from discussion having to do with diagnosis. She has advocated for me several times when I couldn't myself, we've talk often about my issues with medication, and the medical system. She helped me with daily life and bipolar stuff. Depending on where you live psychologists can diagnose but can't prescribe medication.

The dx can effect your jobs, driving record, and other things. I think it's at least worth a try.