There’s little reason to avoid prescribing medication alongside other approaches. It’s not that meds are the only option or they should be reserved for the most severe cases, it’s people’s reactions are different and there’s no way to tell without trying them. For some people they really do work wonders and you simply don’t know ahead of time.

Not everyone has a support structure they can count on as they fall apart. So some people just need help to get through a rough period even if a solution isn’t long term viable. When a spouse dies being able to function for the next few months can mean keeping the roof over someone’s head.