You can create a psychiatric living will too. It's a legal doc that varies from state to state but basicly you designate a person to talk to the doctors on your behalf and in it you can list treatments that are most effective and those that you don't want. For instance mine states that if I'm paranoid the best approach is one person talking calmly not a bunch of big men gathering ready to grab at me. You can also list meds you don't want and it's most effective if you give reason why. Mine says no ADs under any circumstances. I need to create a new one now that I moved to Minnesota. My daughter is my spokesperson she also has bipolar and has experienced hospitals so she has first hand experience. I also need to make a new living will and get it to the clinic, I in no way want to be kept alive by machines or on a feeding tube.