The limit of my T's involvement in my anti-depressant treatment is to help me understand whether I might want to talk to my prescribing physician about a dosage adjustment (like if he thinks my mood level is changing one way or the other). He does also help me deal with the emotional fallout from some of the side effects, if they're affecting how I manage day-to-day.

When I told my previous T that my physician had recommended A-D treatment, he gave his opinion on whether he thought I needed them. When I resisted, he backed off for a while, but kept coming gently back to them. At one point, I was getting about 2 hours sleep/night, was crying at almost anything and came into a session and basically just stared at the floor. He pushed me a lot at that point to call my doctor. I did. I trusted his judgment.