One piece of input I'd throw in is to remember that there is a spectrum of treatment possibilities between outpt. therapy and inpt. hospitalization. Perhaps you can find ways to get more support and make some changes that way without having to fear hospitalization. Unless, of course, that's what you need to be safe. Have you thought about changing therapists since this one isn't jiving with you?

Let us know how your appointment goes, and know that we're on your side.