My T initially pushed me to take an AD. Aside from that, I discuss it only with my PDoc, and even that only very infrequently. Largely, I feel put in charge of this myself, which is fine. Last time I saw my PDoc I asked for my medication to be reduced and he was fine with it. In 3 months, I see him again, and plan to ask for the same thing, as I feel okayish most days. That will be in march, so I may be off of them entirely sometime in the summer, or I may take a lower dose all throughout 2023 and stop taking any entirely when the days get longer in 2024. I haven't fully decided yet. But yeah in therapy, it's not discussed really. But I think the need for that may well depend on the type of medication prescribed.