The clinician may be assisting a client through a three (3) hour session and during the session,  the client may experience heightened metal health symptoms. Although the clinician may attempt to decrease symptoms or de-escalate the situation that creates the heightened symptoms, it is determined that the client should be assessed at the hospital. The clinician convinces the client that an assessment is needed at the emergency room and they go to the hospital and experiences a lengthy waiting period. This session would easily be beyond the five (5) hours allowed for two (2) units.