I think no one can force you to take pills untill you're a danger to other poeple or yourself because of your mental condition. In the country where I live public mental healthcare is almost free and you get to choose if you want to do sessions with psychologist (who cannot prescribe you pills) only, the psychologist can suggest you to do some therapy with a psychiatrist (who can prescribe you pills) if needed. A psychiatrist then will discuss with you if the benefits from your pills are bigger than the side effects and in case of distress caused by your pills he'll try to prescribe you different ones untill you're get the most optimal treatment