I think that it's fair to say if you become manic on an ad then you're bp. Just because an ad showed your real struggle doesn't mean anything. A lot of bp started off dx as mdd. I know my first stop was my gp as is most and initially they try 1 or 2 ad's before sending you to a psychiatrist. Gp no longer dx children. There is always a lecture and the crisis line given just in case. We don't believe in hospital care for longer than a few days. So observation of that intensity is not possible, nor would be acceptable here. If you're not a threat to your self or others someone needs your bed. We're lucky to see our pdoc more than 4x a year For 15 min. Therapist are just as busy seeing clients 2-4x a month if that there are to many people needing services. Waiting with Serious mental health issues is not an option. We have a de instationalize policy. We're unless you're a prisoner you'll be out in about a week no matter the issue as long as your stable.