I am confused by your therapist's lack of urgency in this matter, especially with the level of detail you gave her. I definitely agree with others that it sounds like this is a pressing issue. I know you don't want to go IP, but I wonder if the ER could still be an option where they could offer something to help you relax? I don't know if agitation of this level would necessarily mean they would recommend IP right away if they could help calm the irritability, although it might depending on their assessment. I think the most important thing is that you get the help you need. Maybe you could try calling an after hours line for your psychiatrist or therapist (if that exists?) and tell them you are considering the ER or urgent care if they don't return your call? Just an idea. Please take care and stay safe.