I'm very interested to see what type of responses you get, because I too wonder the answer to those questions. I suffer from BPAD1 as well as BPD and I have been seeing my new therapist for about two months now. She believes that through mindfulness, diet, proper sleep hygiene, and following a schedule I can learn to live med free. My last hospitalization was a year ago, and in the time since then I've had some struggles, but I will admit that since I've been seeing her I do feel like I might be able to do this.

Now, my psychiatrist wants me on Lithium for the rest of my life. Those were his exact words. He said that because of my history, he honestly believes that medication is necessary for me to live a productive life. He thinks that mindfulness is a great tool to possess, but I won't be able to benefit from it as much without medicine.

I personally think that both may be necessary (at least in my case) to help me achieve the level of stability that I want. I am tired of relapsing, and ruining my life. I rapid cycle (probably more so thanks to BPD) and I am at the point where I just want to be better.

I wish you luck in whatever path you choose!