If you feel you can manage without meds, then there's no need for them. But you need to make sure you have a large "toolbox" of coping strategies that you can use when an episode comes in. For me, even though I'd rather not be medicated, I can't control my anger and impulsivity without it. So I begrudgingly take it. I hope I can learn to manage without it but I don't see that in the foreseeable future. My episodes are just too severe.