All jobs will give you time off to see a doctor. They know that people can't always get appointments after 5 PM or before 8 AM. Talk with your supervisor about it. Or go to an urgent care with after hours and see a GP for starters. That's for meds. For therapy, many, many therapists have flexible hours with evenings and weekends availabe to see working people. Even if you have a psychiatrist, they may want you to find your own therapist.

You are right to seek help if you see yourself spiraling downwards. Good luck to you--write to us again if we can help in any way.