I'm glad brunch was familiar, I think you needed that.

What to tell the pdoc? Seems this has been going on for over a week, since at least last weekend.
That you've had bad anxiety, depression, been sleeping through the day and night, thinking of self harm on numerous occasions either through mixing meds and alcohol or si, seeing things move that shouldnt (the painting), paranoid (aliens last night with your friend and the dark). I think thats enough to start with.