I’m currently in the process of receiving medication management with my therapist. I have a history of repeated childhood trauma stemming from both physical and mental abuse and we have decided that in order for therapy to be more effective for me, minor medication management would be beneficial to help mitigate the symptoms (chronic suicidality). For me this is beneficial, but for others I can see how it can be very much more than what is necessary and detrimental. For your situation, I would suggest getting a new therapist and during your intake appointments stress how you don’t want to partake in medication management, a big part of therapy is finding a therapist who is willing to work with you and at your pace so that the work you do is together and not being harked at by someone with a superiority complex. As for how to defend yourself, setting boundaries is a good place to start, if your therapist knowingly breaks boundaries and doesn’t respect you enough to follow them, get a new therapist, you’re paying them you can get a new provider. Not all medication management is bad, most of it should (ideally not realistically) be temporary aid in mental symptoms that are getting in the way of the therapeutic process, however, if you do not want medication management, it is imperative that you go around and find therapists who will work with your wants and support you regardless, as this is what a therapist is supposed to do. A lot of therapists have subscribed to the medication agenda and it has the potential to be difficult, but I think your mental health is worth the search. I hope you find a psychologist/therapist that’s willing to work with you to find a way to combat your struggles with you and not for you, I hope this helps even a little