Robert,
The bottom line is that we cannot -- and I wouldn't want to -- force someone to take medication, even if we believe it is in their best interest. And you are right in saying that once the student identifies us, we have an obligation to make reasonable accommodation. We cannot withhold accommodation (which translates to withholding access)because we think they should be trying more or doing something more. It is our job to work with what they bring us (that is, where they are!).
Dr. Jane Jarrow