Exactly why I made it a point to make sure I could out talk and confuse them.....I have already had cases when I KNOW I was loosing it - but by the time I was done I had the doc thinking he should make an appointment with me! - All I need is to not even hear what they are saying, just the tone, facial expressions, exc. and I WILL get you to think any thing I want you to (well that is as long as you don't have anything tangible that says I'm wrong)
And here as far as if they are separate hospitals or not depends on what one you are talking about, and what for. There are quite a few that include both medical and psyc, others if it's something small fine, if not, shipped off elsewhere.
Now what I deal with are two separate ones, but they work closely with each other (and the mental hospital I WOULD use if I had to also dose medical stuff, it's just not there main thing - but if you say were in a car wreck and they were the closest, they can patch you up, even do emergency surgery if they have to. But while it is closer to home, I still will go a bit farther to get to the medical hospital I always use - even if I thought it were a psych issue and I was staing (and had decided I am not going to reverse things on the guy) I would still go to the medical one first, I am way more comfortable with those people (especially after I did it the other way once, and ended up talking really fast, exc. just to get the guy to go away after being paranoid that I might try to hurt myself right there - at that point - don't trust me without a reason not to, then I don't trust you at all. Besides IF there really is no other choice, I have heard from lots of people that if you go to that medical place first, it's a lot better experience - from what I understand, don't know that it'ds deliberate or not, but I understand you most of the time even end up with a nicer room that way. But at least in 45 years no one has been able to catch me off guard enough to keep me from reversing the whole deal. I guess anything is possible, but I would have to be real bad, and then it wouldn't matter anyway until I was with it again - then comes all the other stuff. But I am not worried about that so much - don't like hospitals in general, but in that case, it's more records then being there that is disturbing to me, and there are ways to alter or remove things after the fact. It's much easier to not put it there in the first place, but it's not as though anything is carved in stone.