How do you know that the meds are working?

I have been taking Cipralex at 10mg for approx 7 weeks, then upped my dose to 15mg last week- it was hell for a couple of days- suicidal thoughts, not eating, sleeping or thinking clearly... but after 6 days of this I felt some relief in the evening and I sort of feel calmer and like I have put all that huge depression and racing thoughts under the carpet- but scared if I peek under the carpet again- all of that would come crashing back on me.. Mornings are probably the worst- as anxiety is at its peak and Im still not sleeping well.
But what do you think guys?
When you upp the dose, how long until it starts helping? and how do you know that you are getting better? This have been going on since January 1st and this is the 8th week so far with Cipralex.

You might need a combo of meds, alot of us, including me take 1-4 meds to balance the emotions depending situations and diagnosis, where we are in our healing journeys at therapy.

ALSO, coping skills VERY IMPORTANT. I don't wake up and move until I thank someone/thing for the day. I made it one more day. Another gift. Won another battle!

Mindfullness, meditation [in many forms] music, art, walking, journaling DBT, CBT, combo or any of these with additions of what might make you feel secure., Skills are important; talk to your doctor about them.

Meds can only do so much, rarely do they do 100% of the work, we as the person diagnosised have to own the diagnosis, not BE it.

I hope this helped.
Peace and strength
Trina