(I'll try to keep it short

) I haven't slept in like 3 or 4 days I can't remember anymore honestly maybe its been more , my brain feels deep fried.
Current symptoms:
- No emotion or very little emotion including empathy(I got in trouble today for the empathy thing)
- Very tired but I don't feel like sleeping or just when I think I might sleep I get a burst of energy which makes me stop feeling tired and it goes away and I start doing stuff for a while and then it winds down but I still don't feel like sleeping.
- Mild worsening paranoia that comes and goes
- people in my head showing me stuff like always
- anxiety for no reason that also comes and goes
- Irritability but don't blow up like when i've been manic
- Everything feels like its in waves of depression and hypomania
I mostly want to know if anyone has experienced this and at what point you guys think I should get emergency help if that's even possible for loss of sleep and my symptoms at like a hospital since I can't see my psychiatrist on short notice, the minimum is a month. If I am overreacting I give everyone permission to be blunt please.
Thanks everyone