Psychosis has a wide array of symptoms. For me, getting in touch with a much wider 'reality' that others cannot see is most definitely a sign things are headed in a bad direction. It feels very expansive and 'right' at first, but then takes on a sense of derealization next. Hearing voices is also a main symptom of psychosis. Delusions, altered perceptions, suspiciousness, insomnia, lack of self care, etc.

You do seem to have a lot of insight and your ability to communicate is intact. Those are good signs.

I hear you on the side effects. Did you discuss those with her? You have real and important concerns. Maybe there's something else you can try that would be better overall.

I'm no expert on tapering, but I go extremely slow. Even at a slow crawl I still experienced sleep disturbances and various physical symptoms. It might be worth hanging at the dose you're at a bit longer until you stabilize.

Sorry about the IOP. That doesn't sound very helpful. Maybe it is worth getting on the waiting list for the other one in case something opens up or in the event you feel you could benefit three weeks from now.