You don't have to decide whether or not you will try meds before a consult with a pdoc. You can go and just ask questions about whether or not the P thinks they would be helpful and why, and how they work and what the expected side effects are and what can be done to manage the side effects. It has been a long time, but I took ADs for about a year 20 years ago and the P was very good about starting me on a very low dose as a way to see what the side effects might be. If you are not in a crisis then started slow and building gradually can be a way to go.

But I think it would be a good plan to discuss meds with your t, get a referral, go to the pdoc for consultation, then come back for a discussion with T and then decide.