Extremely underrated. The impact they have had on my life has been pretty extreme. Most people dont comply with treatment long enough to actually get the benefits of stabalized brain chemistry. Its one of those things that not only take time, but the changes are so gradual you dont really notice them till you have an "epiphany" moment one day where you suddenly realize you are actually feeling good and have been enjoying life.. a feeling that was so far gone you forgot it was even possible.
Took me years of treatment that werent really getting me anywhere till I got my sleep locked in. Then everything started falling into place. Treatments started being effective, pain, digestion, musculature and weight all started moving the way they should and the signs of progress fueled motivation.
Its not all roses and rainbows, theres definitely adjustment periods and "failed" trial and error with meds/dosages that sometimes feels like a step backwards instead of forward, but once you get it figured out it really is a life saving treatment. Not very different to messing with your hormones so I feel like bodybuilding community is much more open to psychiatric meds compared to the general population.