It may be a bit of burn out, but I think if your meds were right you may be able to cope better. I would suggest requesting an earlier appointment with your P-doc. The suicidal thoughts worries me and your P-doc needs to be told about that. The increase to 200 mg for me helped me and certainly you will probably still need to increase slowly, but 3 months seems excessive to me.

I can understand not wanting to tell your employer. I have, but it's something that once you do it, it can't be taken back.