Please don't give up. Like you, I'm "older" (whatever that means) was repeatedly in the hospital over a decade, and went through 6 or 7 therapists. Medication doesn't work for me, either, even makes me worse.
I just want to say, I think you should try psychotherapy again even tho not successful in the past. Try it with a dynamic relationship therapist, the modern style of psychoanalysis that is common these days. Talk to T on the phone and ask how they do therapy first. I don't thing silence and stoneface is right for you, certainly wasn't for me. Try a therapist that's very kindly and disarming, that you can open up to. I found a good T at last and gradually have been able to share my deepest Transference feelings and problems. I believe this is what it takes.