You say those things are not options. That's not reality. They are options that need to be considered in light of your present state of mind. Psychosis in Egypt is treated much differently than it is in the States.

I'm not trying to crush your dreams, I'm trying to get you to see the seriousness of your situation. I'm not saying that quitting or going to the hospital are what you have to do, but they are realistic options. Listen to your therapist, he's on your side.

If what you've shared with us is an accurate picture of your present state of mind, it is very serious.