There aren't lines; every case is so specific to that person's needs I don't think it's fair to pigeon-hole too much. For me, my coworker's change in demeanor w

There aren't lines; every case is so specific to that person's needs I don't think it's fair to pigeon-hole too much. For me, my coworker's change in demeanor was enough. You may find that medication smoothes the swings for you (and for all I know, my coworker would swing even harder without the medicine - I think that was mentioned once). Or not. See a doctor and try it out in a safe dosage. If you find it helps, great! If not, well, maybe something else will work. Or perhaps you're just quirky. It's hard to tell sometimes :) There was a comedian who said something along the lines of: "I got got glasses the other day, and it shocked me. How could instantly improved eye sight not be at the top of everyone's To Do list?!" So when people talk about medication like it's a debate, I get confused. How could instantly improved mood and cognition not be at the top of everyone's list? (I'm a hyprocrite in that respect, but I'm just onery and enjoy the struggle.) If you don't want it, but the medicine helps, work your way off it slowly enough that you train your body to compensate (a number of people have told me that it's geometric: you can cut a third, then another third, then another until finally it's a negligible amount, but linearly tends to give poorer results). But most importantly: do what improves your life. I wear glasses, and I've never felt shame for it. No reason to feel bad about a biochemical imbalance - that's even more complicated!