I wouldn't put off increasing meds... and that wouldn't necessarily take a while to feel the effects... if you haven't had them adjusted in a while, that could be part of the issue... I agree with going to one on one counseling, if you can keep the marital also, then do so. (But I wouldn't see the same therapist for both.)

Not sure you can clue anyone in in the state you are now...depression tells us lies.

TC