While there are good reasons to take the E under your tongue, there is not reason for the Spiro or things like Avodart etc that way. You have a great therapist, but she is wrong about that mix. As well... not sure it would be a good idea to dissolve all those at once under your tongue, there might be interactions between the meds. Even safer than the E under the tongue is IM shots. The timing of those is in days not which part of a day, so easy to arrange.
I have heard of Spiro at night to make sure and keep the T level down. I divide mine into two doses, just before bed and when I get up. Seems to work.