I have a diagnosis but am not in therapy currently. I chose not to take medication so far. Had a recent post that addressed some interesting points and strategies:
Motivation

I don't seem to experience the textbook patterns though, e.g. many "mixed states" that are typically more associated with Bipolar 1, but I have never experienced full-blown mania and my depressive episodes tend to be low-grade. Lots and lots of hypomanic and mixed states.