Doctors should put patients on the least amount of antipsychotic possible that gets them stability.
Problem there is lowering meds can bring back symptoms of mania or psychosis. There's also a theory that once stabilized, such patients will need less than the amount that got them stable, & likewise another theory that after decompensation, will need more medication to get them stable again, and if you get a bipolar spectrum patient stable on the current regimen, they may be a part of their cycle where they can still decompensate on the same dosage.
There isn't much good data as far as I know on guidelines to lower medications once stability is reached, though Kaplan & Sadock does mention guidelines for such. What I do is I tell the patient the pros & cons, and that reducing meds may be treading on unknown territory--is it worth the risk? There should also be some good reason to tinker with the dose-e.g. the med is working but there's a specific side effect the patient is suffering from.
In a controlled environment such as inpatient, such a move is safer, because if they decompensate, the treatment team may be able to catch worsening symptoms faster. Patients will also report changes within the next day. In outpatient, its much more risky--a good way to handle that is to have family members stay with the patient so there's a back up person who can call emergency services should things go wrong.
One thing I try to do in inpatient is figure out the "magic" dosage before the patient gets discharged, so they will be confident that the dosage they are on is the right one and their outpatient doctor won't have to deal with it.
Some patients also do not bring up side effects unless asked. I always ask patients within the first 3 days if they have side effects to any new med or change in dosage.
Another factor to consider is several patients want the meds lowered for the wrong reason. E.g. some manic patients love their mania, some psychotic patients refuse to acknowledge they have a psychotic disorder despite years of hospitalization for doing psychotic things such as trying to free birds from a pet store cage because they were "talking to me, demanding to be freed." If that's the case. You have to ask the patient why they want the med lowered.
If they want the med lowered for reasons that are not appropriate, but are not commitable, & show capacity to make decisions, often times you have to do what they request anyway, but you need to document carefully that you recommended against it.
To answer your question, can it be lowered a little? Yes, but there are other factors to consider. If the patient only reaches stability at a high dosage--> that implies that the dosage required for stability will always give the person the side effect (though lowering the dosage is still worth a try), you can also change the med since some antipsychotics have more or less side effects.