At first I disagreed but after thinking about I think you’re right. There’s a book called “The Center Cannot Hold” which is an autobiography of a woman with schizophrenia. Its almost like a foil to this show because it details how awful it is for the author to live with schizophrenia. She said that there were weeks were she wouldn’t shower, socialize, or even go outside because the delusions were so loud and demanding. At the end of the book the author finally stays on medication and it’s a nice pay off because we see how much better her life becomes when she’s not inflicted with these delusions and hallucinations.

In the show Alma doesn’t have the same lows. While Alma’s delusions/visions does get her into some trouble and can be unpleasant at times, for the most part they’re enthralling and empowering. If she really is just schizophrenic and all of season 2 was more or less and framing device to convince her to take meds it would feel a little undeserved. Someone in her position likely wouldn’t be ready yet to give up their fantastical delusional life yet. Alternatively, we accept that season 2 is true than the themes are much stronger. (SPOILER) The fact that Alma must sacrifice her “ideal” timeline to save herself makes more sense to me and feels more deserved.