So far as I’m aware, non-occupational pre-nominal honorifics inure to the individual, so generally speaking, if that person doesn’t want to use their title, they don’t have to. And in the same way that most people will go along with someone’s acquired honorific of Dr or Capt or whatever, the same should also apply if someone expressed that their honorific should not used. I have no citation for this, other than what I’ve seen in life.

As a sidenote, in Britain, I understand that medical doctors are able to use the pre-nominal of Dr, but surgeons specifically will drop the Dr and just use Mr. or Ms.

Apparently this stems from ages ago when surgeons did not have to have a medical degree, and the doctoral view was that surgeons were akin to butchers. This may have reflected the crudeness of early surgeries. As a result, surgeons developed a history of being Mr – it’s not clear if female surgeons also took on Mr. So after the various laws/rules changed so that surgeons also had to be medically qualified, they still kept the tradition of Mr.

Thus, a male student of medicine in the UK could go from Mr, graduate to Dr, and then graduate as a surgeon to Mr again. I have no citation for this either, but it’s plausible for the ardently traditional British nation.