I don't have experience with meds with my own kids, although my ds is very prone to anxiety when he's faced with situations that are tough. We haven't been at the point where we've had to consider meds yet, but I absolutely would - and fwiw, we have talked about it with him. I think with a teen often times it's helpful to have the person who talks about it be someone who's *not* a parent. It's also helpful to be able to talk about other people who've used meds to cope with anxiety and it's helped - or even to find someone who's had personal experience with meds and anxiety to talk to your ds about how it helped them and what their concerns were etc.
I've been on the fence because I hate the idea of medications vs. fixing the environment.
"Fixing the environment" isn't a solution for anything, because inevitably you'll run into a situation where you can't manipulate the environment, and as parents we need to give our children the foundation to be able to go out into the real world, whatever that world is going to be for them, and be able to cope. Note - I don't see using accommodations as "fixing the environment" - they are means of coping with the environment when the fit isn't there, same as meds are. Just different means of providing the same thing - the ability to function in a situation made challenging by a disability. Hope that makes sense!
polarbear