I've been sent home because of mania that was out of control and I was behaving inappropriately. I've also been fired---twice---because my employers "couldn't" give me reasonable accommodations to help me stay employed. Businesses are businesses (even healthcare!) and they all have offices full of lawyers who know ways to get around the Americans with Disabilities Act. I'm on SSDI now so I don't have to worry about it anymore, but if I were ever to get a job again I would never disclose my BP.