Most of what is prescribed for my conditions have detrimental effects on cognition, such as brain fog, akathisia, homicidal ideations, extreme drowsiness and fatigue.
In fact, today I just quit two HBP meds due to their adverse side effects as listed above (they also cause depression, etc.)
These drugs are indeed designed to hamper cognition and keep you in bed all day. They are literally chemical restraints; they substitute for shackles and leg irons. They do not heal or cure any disease; in fact they can often cause the very symptoms they're supposed to suppress.
My rule of thumb is that if any drug hampers my ability to think or stay awake through a work day, then my right to work outweighs any imaginary benefits of those chemical restraints. I won't be sleeping my life away.
Oh, my conditions, you ask? They don't bother me, don't get in the way of a normal everyday life. When I do have an episode, there's not a drug invented that could prevent it.
I'm an intellectual worker: I earn money with my mind, and doing good work sharpens my mind, like quality singing strengthens my voice. I find dignity and self-worth in employment, and nobody will take that away from me.