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I'm not sure if you're comparing SSRIs to castration but I'm gonna assume you're not.
I dont think any prescriber would consider any of those medicines necessary. a much better example would be steroids like prednisone. it weakens your immune system, but it's absolutely necessary at times.
SSRIs are rarely necessary, but are a useful tool. too much to say on this.
Benzos are a short term solution to enable more longer term treatments. they're absolute monsters of a drug class, but really effective for sure.
fentanyl would be a better example of a necessary evil. it's synthesis revolutionized surgery.
finally, lithium is a funny example -- we still don't even really know how it works!! but it's a mood stabilizer and can be hugely beneficial for managing bipolar disorder. that said, one can attempt to manage bipolar symptoms without medications, but it's certainly going to be harder and possibly less effective