The longer you go without sleep the more paranoid you’re going to get. You have to dig deep and find the courage you need to tell your doctor. If you tell them now, you may get the help you need before you wind up detained again. Proactive. You’re going get to be more involved in your own care if you show some initiative and take control. Tell your doctor what’s up. If you don’t tell and things continue to spiral out of control they are going to put a check mark next to poor decision making abilities.