It's all about intent whether they can make you go. If there's a plan but no intent they are going to try hard to get you to go and you SHOULD go in all probability but they can't really force you unless they think you are going to do something. I have finally realized though that if I have a plan and it is more than fleeting and my therapist thinks I need to be in the hospital I probably do. (But to be fair there is nearly 10 years of history there).

They can't call CPS because of the thoughts about your kids. If you were planning to give your kids away then they could or if you had tried. But just thinking it is just a thought and thoughts by themselves are harmless except for the pain it causes you which is real.

But honestly? Trying to figure out what to say to your therapist to get around hospitalization is not really letting her help you and it is kind of making the money you are spending on her pointless. I know it is hard to trust her so fast. I had that happen with this therapist; we went from introduction to 70 mph immediately and it was really, really rough because we didn't know or trust one another. My pdoc mediated a lot (she was in the same practice then). I have the luxury now of my therapist really knowing me. But even back then, looking back, he was on my side even when I didn't agree with him. I'd never had anyone not just trust me that I'd be fine and I did not like it one bit that he didn't do that. But he was right and by learning to be honest with him I've stayed a lot safer over the last 10 years. At this point he knows that I'm aware that I'm on the edge and that I could be admitted based on how I feel but that I can't be forced. But the decision is his. If he thinks I'm not safe I'll go. And honestly that is a HUGE relief to me.

I know all the reasons you want to avoid the hospital (or actually I know a lot of reasons and am guessing they are the same as yours and adding some things for you). But when you feel so awful it's not the worst thing and feeling better as fast as possible is a good thing. Just getting some rest and a break from responsibility would probably help you right now.

It's ok to be honest with the therapist. hard, but ok.