My psychiatrist is my therapist. I do therapy twice a week. We only talk about meds when there is a problem like recently I developed a case of SAD and needed an anti-depressant. Otherwise it's talk therapy. I chose him because he is an analyst. There is a small circle of psychiatrists here who are analysts and are interested primarily in therapy. Mine is great. I switch from another analyst who was also good, but this one is even better. I've made so much progress with him that I can't even say I'm the same person.