Usually only doctors, psychiatrists prescribe meds, not T's. You can't be forced to do anything/take meds. Your T might advise you to or even not want to see you if you have problems that meds might help (for example, if you're always late because you oversleep because you can't get to sleep "normally" or something and you can't change your behavior without "help" from meds) but mostly T's just talk with you and look at problems that way. Meds help a great many people and lots of people have both a Pdoc and a T but some just have a Pdoc and some just have a T, etc. I only ever had a T, didn't ever have meds and I turned out fine :-)