I feel like I'm constantly bordering on psychosis. Nothing f

I feel like I'm constantly bordering on psychosis. Nothing feels real, it all feels like a simulation or an alternate reality and when it comes down to it, we all die in the end so I rapidly fluctuate between "I can do whatever I want" and "I should just die now and cut out the middle man." I feel like I'm slowly losing my mind/dying and I don't know how to stop it.

Does medication help or is this about getting off medication or medication suddenly not working?

@CKBlossom I think medication would help, I haven’t been on medication in a long time, but have been trying to contact psychiatrists. My last relationship messed me up a lot too I think. Did a lot of acid and molly with him and it screwed my brain up.