My illness has definitely gotten worse as I've aged. It's under decent control now, but from ages 52-56 it was awful. Now I'm on a good combination of meds and have been stable for 10 months. (My pdoc calls it a "partial remission", but I think it's as good as it will ever be.) I do think I'll struggle with it for the rest of my days, but I've become much more self-aware and can catch things sooner before they blow up out of control.