I have comorbid anxiety and depression, and am currently on 20mg Lexapro. I had many many misgivings about medication and changing medications, even when they didn't work. I guess most of this stemmed from my fears about "losing my personality" and "damaging my creativity" etc. Mostly, I was afraid that my doctor would over-medicate me. However, he always listened to what I had to say, and allowed me to basically take charge of my own treatment and make my own decisions about the various options that he presented to me. So I guess I would say that I'm very lucky in having a sensible, supportive doctor.
What I can say right now, though, is that it's given me a quality of life and mental stability that I treasure. I know that it's not a permanent solution; my therapist started to get me to learn different anti-anxiety relaxation techniques, and accept that I have emotional issues that probably won't be "resolved". This is to help me deal with life in general when I go off meds (we have a plan for when this will happen, too).
I don't think that medication is right for everyone; and I don't think it should be used to blunt emotions that are natural, like grief and sadness. But I think in my case, where I was up in the early morning struggling with insomnia and strong urges to stab myself, terrified of my mind and the world, it was incredibly helpful.
So I guess my viewpoint is that while it may be oversold, but there are still situations that warrant antidepressants. In these situations, I'd be suspicious if the doctor didn't present all the options, talk about the side-effect profiles in the literature and pricing, and talk about a treatment plan that is complemented by lifestyle change and therapy. I would be even more suspicious if after finding the right medication and working on the treatment plan, he/she didn't talk about long-term goals to get off the medication.
Also wanted to add before someone else jumps in that the first thing my doctor got me tested for was thyroid problems, it's standard here. It was only after we'd ruled that out that we discussed antidepressants and other treatment options.