I am definitely ready to move forward.
Good. Part of that should include some therapy, since your job is having deleterious effects on both your physical and mental health. You might also consider asking your doc if he thinks your medications might need tinkering with.

(It took ratcheting up to the maximum dose of my anti-depressant to get me sorted out, it's not uncommon to need to hop up half a dose after the first little while, once the drug reaches therapeautic levels in your bloodstream.)