My trauma T is big on DBT among other things so I have to turn in a diary card every session which includes what meds I took each day. I sometimes try to stop my meds when I am feeling better and he has a fit because I eventually go the hole. I take a total of 5 pills a day and I hate being reliant on them. T says that I will eventually be able to reduce meds but in the meantime they are helping me keep symptoms down while we continue to process all the trauma through EMDR. He always wants to be updated whenever I see the Pdoc. So yes, we discuss meds on a regular basis in session.