I have been manic and psychotic and stayed out of the hospital. My pdoc tries to avoid it unless it is absolutely necessary. Knowing if you are a danger to yourself or others is key. Is your support team saying anything in regards to that? What is the antipsychotic they have given you? Can you try haldol or something very strong that might knock you out while outpatient? Sleep would help you greatly and haldol always knocks me the crap out. Anyway, I agree that you would likely become well faster if you go inpatient so it may be the best route. I hope you have an easy and fast landing.