Mania always devolves into mixed for me, and fairly quickly at that. For me once it takes that turn I will not be euphoric until the next episode, if I make it that far. Each mixed episode this year has resulted in hospitalization for me because I am unable to control my impulses to self-harm. I also fed for my safety in regards to suicide.

It is up to you if you want to use a psych ER or not. For me I was left with no option after I severely injured myself and my pdoc at the time refused to help. The 17 is only about two weeks away. I would take Benadryl to try to sleep and keep calm (just recommended dose, no more) until you can get there. But if at any point you feel you are in real danger, forget yor reservations and go to the ER. It is not worth your life.