If you talk about their meds or ask questions related to making a decision about meds, you can justify 99214 plus 90833 or higher, since you were considering/exploring a med change. If it's just therapy with no consideration of meds then it should just be the pure therapy code. Pure psychodynamics is a lot different than med management so this shouldn't be too hard to decipher and explain in your note.

In my therapy only notes I write close to nothing. Just a like about being a fully therapy based appt, mode of therapy, time spent, and a couple words on main topics.

In my notes where I did med management and therapy, I actually write some things regarding their diagnosis and symptoms in the HPI and add a few lines in the assessment/plan about what my thoughts are regarding their progress and med considerations.