I don't know. When I cycle like that I get in to see my therapist more quickly and I email/call my pdoc. I never want to go to the hospital and they both know that and try to keep me out. In fact I've never been sent to the hospital for going and saying I have been feeling suicidal, felt close, but did this and this instead and then got in to see my therapist. That's let me learn to be honest about it with them and at this point I know that if they say I should be hospitalized I should be. But that's taken years and I know you haven't had anything like that kind of time with either provider.

If it were me and I was in my situation (b/c I only know mine) I'd get in to the therapist as fast as possible and just say I was afraid and that I didn't do anything and am not feeling that way consistently but am afraid it could return. But like I said, I totally understand not wanting to do that with new to you providers.

On the other hand, maybe you do need IP if you keep cycling like you are. I'd think that with all the med changes you've had lately that it likely is a med issue your pdoc can easily address OP but if you have to wait a long time to see the pdoc it could be rough. I guess it depends on whether you are willing to deal with another round of last night in case it happens (and it may not). But to me that sounds like meds that aren't quite working right and are making you cycle hard. That's how my cycles usually are and it is not pretty so I feel for you.