Just recently diagnosed Bipolar II. I've been in therapy for 5 years, and just started meds a week and a half ago. I'm already feeling some benefits. For me, I feel so much better already on the meds, that I can't see myself going off them. If I start having intolerable side effects, I'll talk to my pdoc and see what we can do, but I know that being un-medicated doesn't work - been there, done that, nearly didn't survive. I'll probably stay in therapy long term as well. I still have some things that I need to work out, and I know that I need the support of my therapist.