Good question Blue ....something to certainly think about.

Some studies show repeated untreated manic episodes will chip away at your IQ which I do believe is true

Low term psych Med use has shown potential for causing loss of cognitive abilities and decrease in IQ which I also believe is true.

So really a person has to decide what’s best for them in the say next 5 years ??? If meds help you function better, enjoy life and activities keep away paranoia etc . Then ..... Yes I think Meds would be worth it.

New meds are always being released, it’s likely all the new meds coming out won’t have the possibility of long term cognitive problems.