Just my opinion cause I’m no doctor or even an expert but I think monitored med vacations can do a lot of good. But then that was my personal experience. I had a great T who kept me apprised of any sudden moods and helped me stay calm and even. Then when I went back on meds it was new meds and far less. Granted I waited too long to go back on the meds. I waited 2 1/2 years until I was in the middle of a mixed episode. Mixed I can’t tolerate so I got meds pronto when that happened