I think mostly yes. There have been a couple times when I have gone off my medicine, once because I was hypomanic (which was caused by the medicine I was taking anyway) and once because I truly felt my doctor was not listening to me and I was tired of paying for medicine that didn't work. I stopped seeing that doctor and I don't regret it.
As for therapy, I think I am an ok patient. When she asks me direct questions, I am always honest. I've tried to be brave and bring up scary things that I could have easily kept hidden. But I sometimes fail to mention things like when my drinking gets worse or when I relapse with my ED. I've never told her about the drugs I abuse (11 days clean btw... woo). I suppose that's the nature of addiction, I don't want to tell her because I don't want to stop. Even though I know it's better to tell.