It sounds like you are working very hard to feel well. I think that is 90% of the battle. Please do consult Dr. about meds and if you feel your PDoc is not in your corner, find another one. I always had bad reactions to meds which just made everything worse! I went to a new Dr. who feels my anxiety is much worse than my depression, so she got me off Anti-Depressants and put me on Buspar with Xanax when I really need it. I have felt better the last month or two than I have in a long time. I think that since my anxiety is under control, the depression issues have just kind of fell by the wayside. It did take me a long time to get to this point, ask anyone here that has been with me through all the med changes. I also exercise, I walk like 2 miles every other day, and every day do a few minutes of stretching/toning exercises. when I skip it, I feel it mentally and physically. Some times I just want to sleep in, but the minute I step out my door and start walking my wooded path I am immediately glad I did. We all have to find what works for us.
I hope you have a real good day soon. Jamie is always right about these things! He has provided so much encouragment for me, especially when I decide to take a day and beat myself up, ha ha