My first episode was 7 years ago following the birth of DD2. It's been an ongoing quest to find the right meds. They're better now, but still have big problems. I've tried 9 different medications over 7 years, of which I'm currently taking 4--Quetiapine, agomelatine, lamotrigine and carbamazepine. It can be a soul destroying process and exhausting to try a med, only to have to discontinue due to side effects.
Even with the 4 meds I take, I still have regular episodes--3-4 serious lows, and another 4-5 milder episodes. I no longer get highs, but the lows are awful and I'm tending to get psychosis with them now, which wasn't the case a few years ago.
However , when I'm well, I'm very well and manage to work FT as a uni lecturer.
I have a wonderful CPN, who really helps. And my DH is very good and caring. Having good support is as important as the meds. I also do yoga and horse riding, which I love and really helps my mood.
It's a combination of meds, self-care and support.