Reading this was confronting for me because you pretty much just described how I'm feeling & have felt with far more intensity previously. I have heard a voice, perceived with my ears, saying I was stupid when having most of the symptoms you described at the time. I still can't pinpoint whether it's bad anxiety or something more. Agitated depression? Dysphoric hypomania? I know I likely had an auditory hallucination but I was fully aware it was a hallucination. So I don't think I've ever been delusional. Expect maybe delusions of infidelity but that's a whole other thread haha. So I don't know if what you describe is psychosis but I'm only going from my own similar experience. I still have my feet firmly planted in reality, I'm just disconnected from it somehow. & also totally not up for antipsychotics even though both pdocs have suggested the same.