((hugs))
Why aren't you on a med like Latuda, Abilify, or Geodon? They help with paranoia, delusions, voices and some of the negative symptoms sometimes. You're fighting it right now, but even the weight lifter must put the weights down eventually and you'll sink completely in psychosis if not on meds and good therapy.
What i needed each and everytime i thought i was being persecuted was to be challenged by someone. I needed someone to challenge my psychosis, the paranoia and delusions so that i could take the next step towards recovery.
You have insight right now which is a god send, but I don't think that can last indefinitely. Psychosis wears one done eventually and creates a divide further and further from reality until you think of the most supernatural and outlandish beliefs, i know i did.
May i ask why you are not on medication? I found that my med Geodon, is the only thing that worked long term to get me out of the slump. And going med free might have short term benefits, but long term, how many times do you want to wrestle with psychosis instead of preventing it indefinitely with meds? Different meds work differently for different people. So it's about finding the right one that suits you. Latuda and the new Abilify drug seems to be the drugs of choice right now. I would try Latuda first if your insurance allows it. With the abilify genre you will find trouble sleeping, which you already have troubles with. Seroquel is another anti psychotic that can help you sleep. You're wakefulness might be because of two ddifferent reasons:
1)Mania, which means you might be experiencing a schizoaffective psychosis where you are bipolar and the mania is keeping you up. Are you experiencing mood swings from manic to all of a sudden depressive?
2)Anhedonia might be settling in, and that can take away many emotions along with sleepiness. I noticed that as anhedonia settled in my orgasms have been different. I no longer feel euphoria accompanied by intense feeling of sleepiness. All i feel afterwards is alertness which sucks. Comparing that experience with night time, i might feel physically tired from my work but i never feel mentally sleepy. I'm typically up until 2:30am trying everything i can to fall sleep, including taking Benadryl and a Xanax to force me to sleep. Seroquel is the antipsychotic that has the most potency to make one tired and knock you out.
Your therapist is there to help. By law they can't talk about your case unless you sign a waver. They are on your side. You can even ask them for help in aid of getting a psychiatrist appointment setup. If you don't see him soon then i think it would be better to tell your mother to help you to see a psychiatrist. I think you're at a breaking point, and if you go any deeper then you're going to not be yourself at all and start to lose contact with reality more so... ((hugs))
by the way, your words are lucid. They aren't disorganized like they have been in the past. That's something.