This is such an important point, and so often overlooked or minimized. Thank you for bringing it up, BirdDancer. (And good on you for doing the work!)

So often (both here and IRL) I see people struggle with issues they think meds will solve that are simply beyond the scope of what meds can do. It is sad (and frustrating) to see people reject therapy out of hand while they search in vain for the magic bullet...

The other thing worth watching out for is switching meds too quickly and not giving them a real chance. That happens a lot too.

It's kind of hard to answer your question . I mean, I have certain meds that have stayed pretty consistent over time and others that have changed. It's a mixed bag. I don't sweat it. I've heard BP described as a "moving target", which is why we tend to need med changes from time to time. Nature of the beast.