Aw man :-(. I didn't think about the rural aspect, which I should have as a Montanan!

If there is potential for you to benefit from inpatient treatment (something I'd do some research about first), might going out of state be an option? Or does the insurance not let you go out of state? If that's the case, I wonder if there might be some kind of appeal process, given that your situation is so problematic. It would definitely stink to become a patient in your own facility *YUCK*.

How about therapy every other week? (It would NOT be enough for me, so I fully understand if it wouldn't work for you.)

Good for you for looking for support online. The Internet is a wonderful tool. Indeed, have you looked into distance therapy? Some people are offering this option using stuff like Skype and other Internet tools. (That's another thought that skeeves me out, but perhaps it might give you a tiny bit of additional help if you could stand it?)