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.
> There’s little reason to avoid prescribing medication alongside other approaches.
There absolutely are downsides and risks. There is a reason the SSRIs carry a "blackbox" warning for youths due to increased suicide risks. There's a reason they should only be used under supervision of a doctor and need to be tapered off of.
That is not to say they aren't useful and necessary for some/many people but they aren't and shouldn't be a catch-all treatment.