I'm sorry about your friends. Medication doesn't mean nothing bad will ever happen, but it definitely reduces the likelihood that it will
Not that simple. Getting medication adjusted properly can take years. I have one close friend in jail and another dead from suicide both related to manic episodes and they were both on medication and actively being treated by doctors.
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Not until they figure out the right mix. It can in fact make things worse in the short term. So “why doesn’t he take medication?” is not a useful question for Kanye or anyone struggling with this, really, unless you are privy to what he is and isn’t doing & his treatment plan
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