I don't know about this. In the end it is important how you feel, not how others percieve you. That is important for interactions with them... but for your well being it does not really matter.

People tell me I look like I am doing great when I am in deepest depths, because of my defense mechanisms I developed. It is nice to look functional and it is important... but if you feel bad on long run, despite how others percieve you... one should adress it somehow.

with meds... I don't know. I am personally not on anything, but I noticed sometimes the other like the medicated person more because they are tamer or less troubled on the outside, maybe more restrained... but if you feel like out of character and it is perstitent feeling then it is something to talk with your doctor and therapist. It is not meds in general making you fake, but maybe what you are on atm is not the best for you.

So coping is important. Interacting with the world is important. Life is gonna be struggle, and you have to accept some inner turmoil and learn to cope... it gets easier I think. But one should feel that overall things are okay, no matter the momentary feelings. If you are not feeling at peace and feel you are faking it for the world... you should adress what can be done differently.

Hope this is not too confusing.