I agree with Jo Thorne. It's very unusual nowadays for psychiatrists to do the hourly talk therapy, as they mainly just question patients long enough to make diagnoses to prescribe meds. Yours could be exception, but I don't recall your mention of it.
You certainly don't have to take any medicine you don't believe will help.

There is no psychotropic medicine that ever helped me feel better, and sometimes was an issue with a new psychiatrist at the hospital. I did better talking with a PhD psychologist and a good licensed social worker. Often they know more and better than any MD or PhD, but it's the fit that counts most, I believe.

I would let a psychiatrist prescribe a benzo or anti-depressant if he gave me a hard time, like saying the clinic won't treat me if I won't try out the medicine for 3 months, or sometime like that. But I didn't take the med, as the hangover made my life like a nightmare zombie. So, you kinda have to learn how to play their game, sometimes, sad to say, when you really want to do the talk therapy.