My illness has gotten more severe these past few years but I haven't stayed on top of my treatment plan. I think some people will have a reduction in symptoms and some an increase. All you need to do is stay on top of your treatment and you may not see another manic or depressive episode. Or you might still see them but will gain insight and coping strategies to help. I will I had a concrete answer to your question. ((Hugs)). I've got allergies as an adult and it sucks.