He sounds like he is taking all of himself into the room with him. I was wondering about the world ending at some point in the last 2 years, too (though I had had something similar to a psychosis the year before corona started, so part of that was an aftereffect). I saw a documentary on Benzos the other day. Are you considering slowly getting off them once your physical ailments are dealt with? Might be something to discuss with him or another pdoc. You don't have to leave him, but you could maybe get a second opinion, right?