> There’s little reason to avoid prescribing medication alongside other approaches.

There absolutely are downsides and risks. There is a reason the SSRIs carry a "blackbox" warning for youths due to increased suicide risks. There's a reason they should only be used under supervision of a doctor and need to be tapered off of.

That is not to say they aren't useful and necessary for some/many people but they aren't and shouldn't be a catch-all treatment.