I think it really depends on your ability to cope with the symptoms and your support system. A good therapist can teach you how to recognize and deal with the symptoms but you need to be willing to keep a schedule and work at it. For some people no matter what they do or how hard they work at it they need meds. Sometimes it can be temporary, sometimes life long. Medications change your brain, BP changes your brain, it's a catch 22. Work with your Pdoc to find out what's best for you, it's different for every person.