If you are severely depressed, I don't think therapy alone will work. But I don't believe in meds without therapy, either. I was on Zoloft and it worked well for almost 20 years. Last year I got a new pdoc and he said that he couldn't promise that help would be found quickly, but that he was a persistent bugger and he would keep trying with me until we found it. I have always had more of a problem with drugs having no effect than ill effects. He put me on Effexor and I've been on it ever since. The one thing I notice most is that I have more energy. Before I was spending all my time in bed.

Anyway, yes, bring it up with your general practitioner if you trust him or her. That's where I started. But I would recommend finding a good pdoc.