It appears you have mixed urinary incontinence. (Both stress and urge incontinence). Managment depends on which is more prominent on examination and investigation. It look you r overweight also. Please consult endocrinologist for any pathological cause for putting weight, discuss your psychiatrist for considering medication revision as few of them may cause weight gain. Start pelvic physiotherapy to strengthen your pelvic muscle. At last consult Urologist for urodynamics and further investigation.