It might happen for you. But not all people with bipolar end up that way.

I've had med changes for three years and have been stable for almost two. I'm still stable emotionally but may have to change meds due to side effects.

Don't feel bad if you still have issues though. Sometimes it may take med changes and tweaks until you feel better.

Therapy also helps. Being able to have coping skills to sleep well and reduce stressors would be of benefit, amongst other things.