Alceste
Vagabond
Ideally you would see a therapist who advocates medication for the short term coupled with heavy counseling. If you are extremely debilitated and have known no other way of life the extra "push" is definitely needed to get you through the beginning, the eventual tapering and withdrawal is a small price to pay.
How can you say medication is "ideal" when we don't know the seriousness of the problem, what the medication is likely to be, and whether the side effects of that medication might be worse than the original problem?
Medication should be a LAST resort. Not the first. A therapist who recommended medication right off the bat would be a quack.