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In most cases, someone going to the emergency room (ER) for PTSD or a panic attack will not be automatically forced into the psych ward. The primary goal of the emergency room is to assess and stabilize the individual's condition, ensuring they are safe and receive appropriate care.

If someone presents with severe panic attacks or symptoms related to PTSD, they may be evaluated by medical staff and a mental health professional in the ER. The medical staff will first rule out any physical health issues that could be causing the symptoms. Once a medical cause is ruled out, the mental health professional will assess the person's mental and emotional state.

Based on the assessment, several outcomes are possible:

  1. Discharge: If the person's condition is stable, they may be discharged from the ER and given instructions for follow-up care with a mental health provider.

  2. Voluntary admission: If the individual is willing to stay voluntarily for further evaluation or treatment, they may be admitted to a mental health unit or psychiatric ward, depending on the hospital's facilities and protocols.

  3. Involuntary admission: In some rare and severe cases where the person poses an immediate danger to themselves or others, and they are unable or unwilling to stay voluntarily, the mental health professional may recommend an involuntary admission to ensure their safety.

Involuntary admissions are usually a last resort and require strict legal procedures to protect the individual's rights. Typically, there must be clear evidence of imminent danger, such as a risk of suicide or violence, and the decision is made by a mental health professional, often in consultation with others, such as family members or law enforcement.

It's important to note that practices and protocols can vary from one hospital or jurisdiction to another. Additionally, mental health laws and regulations can differ significantly based on location.

If you or someone you know is experiencing symptoms of PTSD or panic attacks and needs help, consider reaching out to a mental health professional or a crisis helpline for guidance and support.

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