I think it is different for every person.
Can you go and stay away with a friend for a few days?
Do you have a list of what might possibly help at this time?
You've mentioned friends
@PlainJane. Who else is in you circle? Doctors, therapists, counsellors, groups etc?
Can you break it down to the smallest action you can do?
Sit up?
Can you get and just go outside for five minutes?
Or have a shower and go back to bed?
Watch some Kristen Neff's videos?
Open a window?
Read a book?
Do one thing?
That's a good start. Can you go more often?
That's a difficult thing and you are doing it.
Are you able to keep yourself safe?
Is this a fear? Has this ever happened to you?
If you talk about these dark thoughts can you make an agreement not to act on them?
So do you have phone numbers to ring? Helplines? Extra counselling?
You are reaching out here that is good. It might be time to ring your friends?
You are really down on yourself for having a relapse. "Should" be fixed. It doesn't work that way. I am not doing well either. You are not alone with having a relapse.
Medication is tricky and can take fine tuning.
Whatever you do don't come off medication/s whilst you are in a can't get out of bed stage. Without proper medical advice it can make things so much worse.
In my experience medication needs to be titrated down once you have routines in place, getting up, eating, exercising, socialising, sleeping, social connection and a period of stability etc
Before you start going off your medications ring your friends or go to hospital to be monitored.
It can be really dangerous.
Please ignore all that is not useful.