I have a doctors appointment soon for my mental health but I don’t actually know what I want from it 
Work is hugely stressful at the moment, and while it would be lovely to be signed off for a few weeks in one respect, I would then have anxiety about going back, worrying about what colleagues think of me because they’re going through exactly the same shit and they’re coping and I’m not, I had a lot of time off a few years ago and don’t want that again.
I’ve been on various ADs for almost all my adult life (I’m mid 30s). I would like to maybe increase my dose but I think I’m maxed out tbh. I don’t really want to change meds as I can’t cope with withdrawal and side effects of that on top of everything else. Ideally I think I’d maybe like something extra that I could take when things are really bad, but I don’t imagine that even exists.
I’ve had counselling and CBT in the past, with mixed results, I currently feel like an extra thing I have to do each week is the last thing I need (which I’m aware is my depression speaking but there you go).
So I kinda feel like I’m going to be wasting their time and mine. Any suggestions of any other possible options I’ve not thought of?