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I'm sorry for your suffering with such loneliness.
Are the people who say they are there for you really there when you need them? I've felt that pain, am still feeling it. I have very few friends. I usually end up calling them because they are wrapped up in their own lives and have friends already. I can't count on anyone to be there for me in those moments. I have talked to crisis lines and blocked my number for reassurance it is anonymous. I vented. They listen. It might help you. I've also had thoughts that I know are not realistic, but I don't hear voices or see things. Anxiety is definitely making that happen, that's when those thoughts are hard to or impossible at the moment to stop them. An idea might be to accept the thought, and observe it as it passes eventually.
I don't think you have psychosis but for reassurance you could ask the doctor who prescribes your medications what they think about it. I wish you the best of care.
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