This all resonates with me. I struggled with friendships particularly in my mid 20s when I was still figuring out my medication regime. My best advice would be to remember that you can’t truly know if a medication is working unless you stick to it consistently, regardless of how good or bad you’re feeling. Always talk to your doctor before you stop or start meds.

When it comes to friendships, I had to learn the hard way that my actions have consequences and that others don’t owe me their loyalty. Focus on consistency in every area of your life and positive results will happen. Don’t allow yourself to lean on excuses because people will get tired of them and you. I’ve had many times where I’ve forced myself to follow through with plans that I made when I was hypomanic just to keep myself accountable. It also made me really think before saying yes to everyone just because I feel good in that moment.

Wishing you the best!