The problem is that psychiatry is an absolute zoo. Ive heard that if you go to 10 doctors you'll get 10 different opinions based on the docs personal experience.
Even if there are trials for these medications, the field is not quantitative in practice. "Standard of care" is a myth.
The one thing they will all agree on is that you need pills of one sort or another.
Definitely prefer psychologists and therapists over psychiatrists, but don't discount how much something like an SSRI can help