On average, how many manic episodes do you have in a year’s time? I am averaging one per year when I am not on meds…with some bouts of hypomania, usually no more than 2. I am on the lowest dose of Seroquel which is mainly a sedative at this point. I’ve been told that it isn’t effective for bipolar symptoms at this point which is concerning. I have identified the major stressors of my life and adjusted accordingly (I  no longer work in education) but wonder if I can maintain this level of lucidity with such minimal medicinal support. Any success stories?