I can agree about the island thing..I think I would do pretty well in that kind of situation, I love to build & figure things out, but would be so screwed if I had to live on bananas! (hee-hee! I hate them!)
The things you mentioned about your experience with meds are 2 more reasons why they scare me..the 'coming down' thing-like "OMG I'm out of meds, have no insurance, no money..." CRASH! Then you feel worse than before!
The sexual thing bothers me, too. And side effects like sleeplessness, & decreased appetite-now that's all I need.
But it is a lifelong battle, I think..somedays are worse than others, but I have resigned myself to dealing with it, & will keep fighting.