My episodes have only worsened as I age. I am nearly 43 now. My most major manic episodes happened when I was 22 then in my late thirties and early 40's. Mostly I get mixed episodes and they have only worsened in the last ten years to the point I had my worst episode, with psychosis, only two months ago. I don't know about everyone here, this is just me. I did read studies that it can go either way for various reasons. I am certainly hoping mine settle down now. I need a break.