How do I know when it’s time to give in and go to the hospital?

This is the worst depressive episode I've ever had. Not the longest, but the worst. Idk what's going on inside my brain but it feels like all my serotonin just up and left for winter break. But I have a hard time judging how bad things are and when it's time to take it seriously. Facts are:

I haven't had the energy to shower in a week

I sleep 12 hours a night and then take 3-4 hour naps

I do nothing but smoke weed and watch jeopardy in bed

I binge eat like crazy or eat nothing at all for 2-3 days straight

Moving at all takes the same amount of energy as sprinting normally would

I have lost pretty much all joy

I haven't left the house in a week except to go to therapy once and my boyfriend's twice


I'm able to get some work done still (I work from home) (my motivation being if I don't, I can't pay rent) even though it's the only thing I'm able to do all day

I can feed my cats

I spend time with my roommate sometimes

I wash my face and brush my teeth twice a day

I still text people

Basically, I just wanna know, when should I be worried? I'm not feeling particularly suicidal. Like, I'm not gonna kill myself. But I'm worried that if it keeps going like this I'll just give up, you know? I take meds. They're just not working right now I guess. I'm seeing my psychiatrist in a couple of days.

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