I would never trust anyone enough to consider in patient. For me that would be a total failure and to much exposure and I can not give up control. No one knows I have an ED. Not even my husband and I see 2 therapist. I lied and told him I have PTSD from childhood issues. It is not far from the truth but no one can ever know about my maladaptive coping behaviors.

I used to do it everyday but helped myself to get it down to 4x a week. I only sought help when I set plans to kill myself. I have a major suicide attempt 10years ago and I was still sane enough to know I needed help. That was so hard because I know I would be exposed to what I really feel instead of what I put out to the rest of the world.

Remember this is just me. Everyone is different. Maybe the only way for you to get under control is to give up control.