CLINICIANS ARE SOMETIMES FLYING BLIND

I once met a girl diagnosed with Bipolar Disorder I at an Annual DBSA event who was on 21 different medications! Yes, 21 medications! Obviously, the patient had multiple comorbid conditions and a lot of the patients I run into have several medications in their constantly changing “psychotropic cocktail”. But 21?? I’ve seen psychiatrists fall into a deadly trap of chasing symptoms with psychotropics. Have you? Without constant and transparent visibility into how the patient is doing with a particular regimen, this trap is very easy to fall into. Thoughts?