I have a question for you.

What do you do for fun?

I think it would be a good idea (as a future activity maybe?) to write a list of things you enjoy doing. Then you can talk to your spouse about figuring out ways that you can incorporate those activities into your daily life so you get -1- hour to yourself.

I think an intensive outpatient would be better. Hopefully your insurance will cover the program (which is usually a few weeks?) and you'd get more out of the program. Hopefully the program would help you with coping. I imagine if you're hospitalized for 72 hours they will probably just switch your medication and watch you. Or you'd participate in a few groups. At least with a intensive outpatient you will have time to practice skills that they teach you.

The last thing I have to say is that you are a very brave woman. You had the courage to admit what was going on to your spouse and be open to treatment. I have issues with self harm, too, and I still get urges to do it when I feel helpless. It sucks, but at the same time I remember that I was able to stop for a period of time and I can do it again.

Loving SO are awesome!