@Sapien, that's sad and unfortunate that you didn't feel comfortable enough to tell your treatment team the full story. You really should be able to without unreasonable threats of IP.

Have you ever had an "informational" talk with your treatment team about IP threats? It could be useful for all involved. What I mean is to convey the cases when YOU, personally, would simply want increased outpatient (regular visit) help based on your sharing vs. more drastic interventions. I sort of had such an arrangement with my old psychiatrist, in the past. Not to say that if I was truly in danger that he wouldn't (and couldn't) veto such things. But I knew if he did, the necessity would be quite real.

I've experienced about four episodes when many psychiatrists would have sent me straight IP, but my psychiatrist gave it a try not to. However, in those cases he started seeing me two and three times per week (or requested daily phone calls for a bit), until the situation improved. I really respected and appreciated that. It made me really trust him. But of course not all psychiatrists are that level-headed or care enough and have time enough to provide the "extra mile" of service that he did.

What is your psychiatrist (and other treatment team members) willing to do for you? What would you like them to do for you? Consider telling them. Negotiate, if necessary.