I find hospitals pretty useless unless you're in a crisis or heading for meltdown - as the above poster said, theres very little therapy. What support network do you have whacko? Your ability to function is clearly impaired so please don't give up on the professional help being offered you. If you feel you would be properly observed in a hospital environment and therefore given more appropriate treatment then by all means go for it but you can't have tried EVERY treatment option, theres always new therapies and new research going on as we speak so please don't give up hope.

I would be as firm with your doctors as you can, if they see you're not going to give up (even if inside you feel differently at the moment) they'll probably be more proactive in their response. Tell them bluntly what is going on (don't leave out any detail) and ask them plainly what else they can do for you. Even if you have to keep going back to them until they listen, so be it. Let them suggest ways in which you can help yourself and don't let them fob you off, this is your life and therefore your responsibility so be as vocal as you can (take someone with you for support if you can and don't already).

Have you talked about medication adjustments? Meds can take up to six months to have effect so it can seem like an age before you get the right balance. If you haven't tried skills based therapy like CBT or DBT this might be worth considering - even if your docs just point out support groups for you or help you out so that you're better off financially at least thats something.

For the moment be kind to yourself and take things slowly - if you can accomplish one small thing each day your confidence will grow and hopefully you'll get back into a routine and feel a bit better. If you have to eat a lot make sure its as healthy as possible. I find eating little and often helps me feel full and not as tired, perhaps you could try this? Could washing more frequently instead of taking full on showers be easier for you?

I know all this might sound impossible but doctors can only help you so far, some of the work has to come from you too - we'll all be here to support you in this, we just want to try and help in any way we can Trust me when i say i have been where you are and will probably find myself there again in the future so i know how you feel. It IS a struggle but we are not our illnesses, we have a life and a whole being outside of them and this is a good enough reason for me personally to not let them win. Remember that change is inevitable and you have more control then you're aware of. I hope ive been helpful. Good luck