Sometimes people feel horrible for a real reason, but don't know why. It would be foolish to medicate that away.
There are many ways in which your body function influences and alters mood and perception, and vice-versa.
Talk therapy goes the other way too, it has the potential to alter the equation, provided other things are done as well.
Obviously brain chemistry is involved (reduced serotonin, etc.), but I'm sure I could adjust your brain chemistry by jumping out at you and saying boo too; so I don't it follows that chemical intervention is the only approach that will change your brain chemistry.
I think antidepressants are very important and a great tool if you are suffering from severe depression, but I don't think they are the only answer nor a long-term solution, alone.
As an e.g. a metastudy on CBT - https://www.sciencedirect.com/science/article/pii/S027273580... - indicates that it is both effective and superior to antidepressants alone.
Given the nature of depression, which really muddles your mind clear advice is vital - go see your doctor, get onto antidepressants (you don't have to be on them forever), get onto a form of therapy. The shit works.