some therapists have tried to opt out of these requirements by simply taking the position that they do not believe in, or endorse the medical model, and therefore they should not be held to it. This has the same effectiveness as reporting to the Internal Revenue service that you do not believe that the tax laws are valid, and that you should not have to comply with them. While this may lead to making the acquaintance of interesting criminal defense and bankruptcy lawyers, it will not cause any change in the IRS's view of the applicability of the tax laws. By the same token, for a psychotherapist to assert that he or she should not be subject to the medical model will be ineffective. The medical model will generally be imposed with or without your agreement.
I was completely out for mine. I found out I needed gall bladder surgery so I told the surgeon to go ahead and take care of it. Wasn't too bad afterwards just kept ice on them and when the superglue started coming off it itched a little bit. I was always the one saying I would never get the boys cut but boy am I glad I did!