I just take natural supplements right now - Vit D and EmpowerPlus (multi-vit developed to assist with bipolar and other MI symptoms). They've helped smooth out the ride for most of my daily symptoms; they certainly don't remove the highs or lows. The worst parts of my episodes seem to be shorter taking these supplements, though, and I notice a marked deterioration of my mental state if I forget them for several days. So I take them for now, until such time as my symptoms are not bearable with this regimen. I may eventually end up with pharmaceuticals again, but for now this is tolerable (way more so than on other RXs I've had in the past).

Do you notice a continual decline in your mental well being over time (i.e., progression of BP), or do you feel like you experience pretty much the same level of symptoms over time, taking into consideration the 'normal' ups & downs of BP?

(If that's not clear, I'm trying to get at whether you feel your BP is getting 'worse' over time/as you get older...)