Been out of meds for 4 days. I was already in a depressive episode before I ran out, but now I've got derealization, agitation, and fatigue to go along with the feelings of hopelessness and worthlessness. I start a new anti-psychotic tomorrow. 

I work for a small law firm that isn't bound by ADA and I haven't disclosed my diagnosis to them because of the stigma. But I'm afraid I'm going to have to because I can't go to work like this. Nothing feels real and therefore it feels like nothing matters. I feel detached from the real world. Honestly I'm scared to even leave the house because of this. I've called out a lot recently due to depression and I'm afraid they're just going to fire me once they find out. 

Do I have any other options? Do I suck it up and tell them what's happening and hope for the best? Any advice would be helpful.