Many psychiatrists who treat bipolar have tunnel vision themselves in that they recommend things that they believe will overinsure against future episodes, such as maintenance antipsychotics for patients with bipolar sans psychosis, and full abstinence from caffeine and alcohol, without considering that wide big long-term picture. It is also obvious from reading this board that many pdocs prefer to overinsure against mania and willing to have patients suffer in unrelenting low grade depression.