If you don't tell her the truth and have another situation, what will you do then? if you call and say you are in trouble and she wants to up the trileptal that's not the time to tell her. When you can do it calmly and logically explain the problems you had and that you didn't know what else to do that's going to look better. She may still say you should have called her but I think it's still better to be honest and try to keep things very calm with her and try to talk your way through it. They don't like to put people in the state hospital.

I do know how scary it is; back when I was newly diagnosed I saw this pdoc who said I was too manic to be on the streets and she wanted to hospitalize me. I was TERRIFIED of hospitals and that I would wind up in the hospital with one of my own patients and lose my job because everyone would know I was mentally ill. I kept arguing and she kept telling me that I was going to go willingly or I could go in a police car handcuffed to the state hospital and then she pulled out the commitment paperwork. I started yelling and screaming which did not help my case at all but somehow threw together enough words that showed I'd fight the commitment and probably win so she gave me a week to get things together and then I'd have to go willingly or be committed. Then weirdly after a week she no longer wanted me as a patient but did not hospitalize me either.

That panic is a very vivid memory though. So i do understand why you want to avoid it but I doubt that the state hospital is automatic.