No, medication is not always necessary — and whether it’s right for you depends on your individual situation. Many people benefit from therapy, lifestyle changes (like exercise, sleep, nutrition), and psychosocial support without needing medication. However, in some cases — such as moderate to severe depression, bipolar disorder, or certain anxiety disorders — psychiatric medication can be very helpful, either alone or in combination with therapy. A psychiatrist or mental health professional will assess your symptoms, medical history, and preferences before recommending medicine.