Thank you all I decided instead of sitting here worrying to call my T and ask what would happen when/if it happens again and I call her. Basically she would just want a friend or family member to sit with me until I come out of it and if that wasn't possible to take me to the hospital.

I'm taking: gabapenten, xanax, and seroquil (an anti-psychotic) to manage my bipolar symptoms. According to my T, she and my pdoc talked yesterday and decided that it may be the fact that because I ran out of 25mg seroquil pills that I take in the morning, my pdoc gave me 50mg xr tablets to cut in half. Saturday morning was the first day I took one and I accidentally took the second half that evening. My T's exact explanation was apparently antipsychotics can sometime cause psychosis and that change in medicine (even though it was small) was what caused the psychosis. I don't believe her. I think she's blaming the easiest explanation.

I do feel better about the hospitalization thing. I have been hospitalized before and it was my choice then and it sounds like it would be again. I've made a list of things to pack should I need to and I'm going to leave it at that I think. My friend who was with me wants me to call my pdoc and hear straight from him that the med difference caused the psychosis. I don't actually care unless he knows for sure. I've got a disaster preparedness plan in effect, I don't think there's much else I can do in the mean time. Thank you all for your reassurance.