It's good that you are going to make an appointment with your doctor because I think it is something that is really important to get on top of before things continue to escalate further. I know you felt that what you have tried before hasn't worked but maybe it did to some degree and you have said the depression symptoms were gone or minimal for around two years, so that says to me that perhaps something did help. I do realise when your struggling this much it can be hard to look back and see what things might have helped too.
I still however think it is important that you voice these concerns to your GP about what you have tried and that you didn't find it affective. As this gives your GP a clearer picture and opens up the option of them exploring other options with you such as different medications or types of therapy. Also other factors may have also played a part such as maybe you just weren't ready for therapy or they weren't the right therapist for you or the right type of therapy. Depression can also go into remission and then come back again unfortunately so perhaps that is what has happened for you.
When looking at all the things you are struggling with it can feel really overwhelming especially when we try to change it all at once. Start off small though and build up from there, even if you set yourself a goal of trying to have a shower at least every two days or working on something else. Don't try to fix it all at once because it will be too overwhelming. I think making the doctors appointment is a great first step though. Best of luck, take care
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