I know what you mean about psychs... I have been to a couple but I always stop going and eventually go off the SSRI's they give me. A lot of times I feel like I don't want help and I just want people to leave me alone, even though I know that's an unhealthy attitude and it's not helping me... maybe you can try a new pysch if you didn't like your old one, or try working through some of your issues on your own with CBT self-help books and websites and so forth. I am being a hypocrite because I don't really deal with my problems the way I should, but that's the advice I would give myself from an outside perspective.

You will definitely have to be honest with them and yourself about your problems if they are going to be able to help you. Some psychiatrists do just kind of suck, though... I have only gone to two, but I eventually left the first one because I decided he wasn't really helping me that much. It felt more like a revolving door to pay for SSRI's. I stopped going to the second one, too, but I like him much better and would go back to him if/when I am ready to.

Have you tried taking SSRI's before? It can make a difference and might help with things like strong feelings of guilt. Especially when I was at my very lowest, Paxil helped me get back some amount of stability. I don't take meds anymore, but they did help me back then. I am really resistant to therapy because I am very private and I like to avoid social situations and emotional connections (aka meaningful friendships, haha), but I am starting the think that would be the only way to really make meaningful progress in my problems...