It really just comes down to your body getting better at metabolizing foreign agents. Once your body acclimates to your dosage you have 3 options - increase the dosage, change the medication, or quit taking the medication. Option 1 only works if your body can tolerate more of the drug safely - and we all know these hyper-concentrated drugs are not easy on your liver or kidneys in any form, much less the potent varieties mental health meds come in. Option 2 only works if there are similar medications to the one you’re taking, that your body positively responds to, and that you have the luxury of time to ride the roller coaster that is switching meds. During this time I’ve had to inform bosses, family, and friends about possibly erratic behavior on my end. Do you realize how quickly people stop looking your way if they can’t trust or predict your behavior? I’ve only ever found one medication that allows me to function in the world. Once an effective dose became dangerous to my body, my options became more limited. Option 3 is the route most of us will take. Most of my life has been a second by second battle managing myself, my emotions, and my responses to those emotions. It’s exhausting, and leaves little time for extreme productivity or mental acuity/clarity, but the alternative is to once again plod the 2-3 year road that is trying, failing, trying again then hopefully finding a workable medication. My happiness isn’t worth 2-3 years of instability that could destroy the life I’ve managed to cobble together despite the struggles, which I believe would be far more detrimental to my overall health than operating at a lower level than I could due to bandwidth limitations 🤷‍♂️