Yes, stay safe. It does sound like a mixed episode. From the last couple of threads I have read of yours, I'd say your meds are not correct and you definitely need some adjustments. If you can't get to see a doc or nurse who can do anything about them or have them change something over the phone, do go to the hospital. It's not worth doing anything reckless when you're not in your right mind. Things don't tend to go away on their own when your chemistry is messed up. I've been anxious since school ended and I'm reluctant to call my p-doc. So, I went back up on the amount of Geodon I had backed down on (still trying to wean myself off of everything). Now my anxiety is much more manageable, but not great. The key is to change something and don't try to guess at it yourself. Tell them exactly what you feel (crawling out of your skin, etc.) and get something new going on! We all care about you.