I've been in and out of psych hospitals since 2018, an average of two inpatient stays each year. I go when I'm very suicidal or need to detox safely, usually both. I've been sober for months now though. I'm starting to have some feelings of detachment from reality, like I don't know if anything is actually real. I feel like I'm dreaming. I called off work today. My partner is taking care of me but I'm thinking I should maybe go to the hospital because the bad thoughts are getting louder and the feeling that nothing is real is getting worse. I feel really crazy. But I'm worried I'm abusing the system if I go again. And I feel like because I'm medicated etc this shouldn't be happening in the first place, so maybe I'm making it up. I guess my question is, when do you know it's time to go?