Honestly if you think like that about it I'm not sure the hospital would help you anyway....it's pretty much a place to self-bind so that you don't hurt yourself or somebody else or if you need new meds. If you just need a break a vacation is the better choice and much cheaper even after insurance...some people will just check into a hotel overnight. I'll admit I don't know a ton about mania but wondering how your sleep is that tends to exacerbate everything. One study helped bipolar patients stabilize by giving them blue blocking sunglasses that they wore a few hours before bedtime to make them sleepy. I don't know how manic emotions manifest but standard emotions can be ramped up of down by your thought processes so if you're like midterm etc job etc worry etc it might help to reformat your thinking a bit like...yes these next few weeks will be intense but as I have handled them in the past I know I can do it again and everything will be fine....one thing I do when I have a lot to accomplish is set mini goals with rewards. If I do A we can get a pizza tonight if I finish B then I can play video games for a couple of hours to relax. That sort of thing. Pushing endlessly just tends to burn you out...there is sort of a balance to this and it helps a lot to see school or work as a game or fun challenge instead of so thing bad. I'm wondering if you are picturing the negative outcomes if you fail...why not picture the positives when you succeed and if you don't do well then you just try again until you do win or decide it's not suited for you. None of this is the end of the world. When I became psychotic a grant I was writing was potentially going to allow my best friend to keep her job but what if I failed? That kind of thinking caused me to be in the hospital at the critical time but you know what we just submitted it a few months later and got a top score. As it turns out my boss ended up replacing my friend despite getting the money so it was never in my control anyway...so all this drama leading to sickness for something that had no impact on my friend....so now I just kind of throw it out to the universe..I'll do my best but if it doesn't work out well life is complicated when one door closes another opens that kind of thing....