You are getting very good advice, Vegan Bike Chic. I'll just add my 2 cents (or one cent, depending on your point of view), as a therapist who can't prescribe.
No therapist should be "pro or con" medication. It is up to the client to decide for herself, with the help of a medically qualified person. If someone asks me about medication, I give them general information and specific cases where it can be helpful. Then I ask if they would like a referral to the psychiatrist I work with. A solo practitioner (whether they be an LICSW, LMHC, or a psychologist) should have a professional relationship with a psychiatrist or two that they can refer people to. Although I tend to agree with the opinion that Irulan stated, it is not my job to tell someone that they *need* to take medication. In reality, what I find is that when someone is really going through a bad time, they are often open to trying medication (or some other thing they said they would never do). Sometimes, the medication lets you take the first step.
When I was having extreme anxiety a few years ago, I was put on a small dose of an older (non SSRI) anti-depressant, for pain. In fact, it was such a small dose, it didn't even approach the beginning therapeutic dose for depression. Within 4 weeks, my pain was gone, and so was my anxiety. But, I was also doing the MBSR class, acupuncture, yoga, and therapy. I will never know if it was the medication or the other treatments, but I do know that the change was almost miraculous. After 10 weeks, I weaned off of it and have never needed it again. It allowed me to shed my disorted thinking and figure out what I wanted to do.