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I make the psych NP I see go through a back and forth for any treatment or med change. He makes his case, I ask about side effects, interactions, other cost/benefit type of stuff and we come to an agreement (or not). If we don't come to an agreement, that's the end of the discussion. It's never came to that for me, but if he tries to bully me into a decision, I'll walk away and not look back.
Perhaps that kind of dynamic would work for you. Not necessarily antagonistic, but keeping him professional where it counts.
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"I must not fear.
Fear is the mind-killer.
Fear is the little-death that brings total obliteration.
I will face my fear.
I will permit it to pass over me and through me.
And when it has gone past, I will turn the inner eye to see its path.
Where the fear has gone there will be nothing. Only I will remain."
-Litany Against Fear (Dune)
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