I was hospitalized once for mania, however I worked as a psych nurse (oh, the irony). In my experience from both sides of the desk you usually are discharged with more medications in higher dosages than what you will prescribed after you are under the care of your personal psychiatrist. The hospitalization experience is acute. The idea is to get you under control and discharged ASAP. There really isn't time to tweak your medications in the hospital. I was better when I was discharged (not delusional or psychotic) but I was still somewhat manic. Try and work with your doctor to achieve the right meds, combinations and dosages. Even then it is seldom static. Good luck.