I'm really confused, I want to know if it's time to cash in or to cash out, suffered lots of losses last year
It depends on investments. You should take into account the prices of altcoins during the time you bought them and their costs now. If you see that the returns can be great, and you need money urgently, you can sell alts. I am going to hold crypto longer.
If there is any physical asset to exchange for cash you may use that in your hard time. Please do not loose the money on investing it over any cheap coins after you sold and got the money. Better you can hodl the coins as long as you can.
If there is big needs or big price falls and breaks the last peak value then you may sell your bitcoins.