I have been going through a major depressive episode and not sure what to do. It started a month and a half ago and was really bad. I used to enjoy going to the gym and now I can’t bring myself to want to go. I convince myself I hate it. I forced myself to go one day and could only spend 10 minutes there. I had really intrusive thoughts, felt overwhelming guilt, felt like electricity was going through my body and stomach, crying, could only get out of bed to work and couldn’t make it through the day. I just wanted to be in bed all day. 

Flash forward to a week ago. I still have intrusive thoughts but not nearly as nightmarish and the feeling that electricity is going through me has minimized. However, I still cannot get out of bed or work a full day. I lay in bed more in a day than I do sitting and standing combined. It is now becoming noticeable at work and know I have to do something. I want to feel like going to the gym. 

When it started I called my therapist and we had a session. I think I may need my meds adjusted. They have not been adjusted in 10 years. I am currently on: 
Latuda
Lamichtal
Celexa
Doxipan
Depakote

Does anyone have any thoughts on how I bring this up or just any comments in general?