Hypersexuality is one of the classic symptoms of mania. Treating mania can give you a sense of control over your sex life. Meds aren't a chastity belt, you don't have to stop having an active sex life if you want. They make it possible for you, not your bipolar, to make decisions.

I'm gonna be painfully honest. You're going to have to give up the highs to also get rid of the lows. Some people can't handle that at first. They miss the high and will ignore doctors, refuse to take meds or take them only on their whim to passive-aggressively shoot themselves in the foot and get that high back.

They end up going through divorces, SUI attempts, lose everything, bankruptcy, huge criminal records, debt, burned bridges with family and friends, have nothing at all stable in their lives because they don't know how to deal with stability because it's so unfamiliar. Eventually they crash and burn, hard. It's usually after a crash and burn that ends with hospitalization that people come out of that mindset and realize what they're doing isn't healthy, and get serious about getting better, even though it means sacrificing the high. But they lose precious time out of their lives and suffer a lot in the process.

You can make a decision right now not to put yourself through that. You have spent enough of your life suffering. This is a chance to get better. Meds can get you stable if you will take them and take them on schedule and not go chasing the high by going on and off them on a whim. The therapy comes in to help you learn how to deal with being stable, as it's a frame of life you probably haven't experienced in a long time, and it will require adjustments.

There are many, many kinds of meds and while it can take time and adjustments, you should be able to find a "cocktail" that will work for you. If one doesn't work, there's another you can try. If you have any problems with them at all, then tell your doctor and they can get you on something different.

I know this is very difficult and this is another part where a therapist can help you work through things. Getting the right diagnosis is the first step to having the kind of life you deserve. It can get better. Good luck!