Hi, Ash. Some people can reign in their moodswings through rigorous awareness and self-discipline, but in nearly every case only after they have learned these techniques while on meds.   As a general rule, until you master recovery techniques, your meds are going to do the heavy lifting. As your recovery techniques kick in - and this may take years - you may be in a position to gradually lower your meds.   It is foolhardy to consider meds vs recovery techniques as an either-or proposition. The meds will buy you time and put you in a position to begin your recovery journey. It's going to take time. Get the meds working for you first.