I have spent a couple of days in a psych er in Montreal; there were huge confidentiality issues - the social worker basically made calls that were not sanctioned or allowed by me - but other than that it was a fine, professional institution. Feeling the way you are feeling you do belong inpatient. You have a lot on your plate and you need all the help you can get. Sometimes going to the hospital is the best decision. There are now medical treatments for illegal drug addiction, too, that show some success. You will be fine, with time, you just need to get help for yourself.