You need to understand that there will always be side effects of some sort. The game is to find a combination of meds that provide you with tolerable side effects. So as it pertains to you, you will always have a ready made excuse to stop or change your meds, as I see you doing now. Furthermore, making these changes without supervision by your pdoc IMO is not wise. For instance, you need that AP to remain stable. Otherwise, you would not be on it in the first place.

Also, you do not want to be labeled noncompliant. The doctor has the right to stop you from seeing him since you would then be a liability to him. Why should he waist his time with a patient when they do not follow instructions? If you then find another pdoc that requests your records from your previous pdoc, he will see that noncompliant label and may turn down your case. I think you need to approach your meds more carefully. Otherwise, there may be undesirable consequences, like mania. People can get hospitalized when manic.

I know you have been taking meds for some time. I know people who have BP tend to mess with their meds. It seems to be the nature of the MI. I hope you will be OK. Its your decision. I sincerely hope you will make good decisions about your mental health.

Be well!

PS I hope you do not take this post as personally invalidating. This is not my intent.