I was fine off of Lithium for 5 months before I had a manic episode. Although I had some major mood swings, I didn't get manic until faced with one of the most stressful situations I had every experienced in my life. 24 hours later I was in the hospital. Just be aware that it takes months for your medication to leave your system, so be prepared to have a backup plan when/if you start to notice symptoms again. Also, acupunture, supplements and homepathy might offer some alternatives or options that you can combine with your regular medication. Best of luck!