Meds can always be upped and lowered all the time.
You are very unwell and I think your insight is getting really poor.
Sure a T can help but when will you be able to see one ??
The appt coming up is with Pdoc? Correct?
Drugging yourself to sleep so you don’t have to deal is wrong on so many levels and puts you at risk for taking too much on accident , think about this part long and hard.
You talk about needing a “ Team” I think you all need a separate T, how can you talk about your husband being a stressor if he is right there.
You need help nothing wrong with it. I went IP this year why ? Because I needed to be safe.
Btw ... you will get in to see a T much faster going IP , the hospital sets up the appt.
Stay safe and get a shower it will make you feel better