Mania affects judgement, sometimes severely. Bipolar people go off their meds because they think things will be better without them. Doctors put them on meds in the first place. I don’t think the advice of “just follow the plan” is going to work.

It took me years to get to real stability and meds still suck. The only reason I haven’t gone off my meds is I’m both high-functioning and very used to managing chronic medical problems. I know how to work with my Psychiatrist to manage my own medical care and decide what is and isn’t acceptable to me.