When I went to the campus counseling center, it was a requirement for all college students to be in therapy to receive medication. Most recently it has been brought up as an option only at a place that offers both counseling and psychiatry services. Even then during my intake the counselor didn't seem to think we had much to talk about except how to plan for getting meds ASAP lol. My current pdoc with his own practice hasn't mentioned therapy. I feel like it depends on the doctor's preferences and how he/she perceives your situation.