We talk about my meds occasionally, like a few times a year. My T is a psychologist and not licensed to prescribe meds. She has been around long enough to have a pretty good idea of how pharmaceuticals affect the brain, although she's still careful to say things like, "I wonder if you could talk to your psychiatric nurse practitioner about..." without being too prescriptive (pun intended).

I usually put a note in my calendar to ask for any opinions she has about my mood at the last session before I see the psychiatric NP. It's usually kind of a strategizing conversation, like somewhat recently I mentioned wanting to reduce one med to see if my anxiety would decrease and then add another to compensate for it. I'm not that interested in getting off my meds right now because they're useful without bothersome side effects, but I might try that later when I have more time and space to do the other things that are helpful in lieu of meds. I do usually find that I have to initiate these conversations with my T, but I don't really mind that.