WP, I think T is being very professional, ethical, concerned, and caring by recommending the residential program that was so helpful to you in the past.WP, I wonder if it isn't so much that T doesn't want to help or do extra sessions, but that the kind of counseling you need now is out of his scope of practice? For example, if I needed a residential program, and it included counseling, I am not sure my T could provide me with an equivalent (and equally helpful) sort of counseling. Even though he has been a therapist for well over 20 years, I am not sure he has training for that. Maybe he does, but maybe not. I think it is a specialty area, and many Ts are not trained for it. If someone is in crisis and needs the help of a special program, then they deserve to have providers trained in it who can help them. I think there might be liability issues too. If you need a residential program and your T tries to "substitute" his own services for that instead of referring you to more intensive (and trained) help, he could be held liable. In addition, if every time you get into "old stuff" at therapy, you go "nuts", then your T may be very reluctant to increase his time with you for fear of making things worse. That's all speculation, though; as others have said, the best is to talk to your T about this. Maybe he can provide the sort of counseling that would be helpful to you and maybe he can see you more frequently. You won't know until you discuss with him. It seems like it's too important for an email conversation. I hope you can discuss in person or over the phone. That way you could also get reassured that his concern is for your well-being, and it is not that he doesn't want you.

Another alternative might be to find a partial program closer to home so you don't have to stay overnight there and can keep up the continuity of home life and being with your family. Maybe T can recommend a closer program.