I think your letter is very good. It clearly tells the dr how you feel.

Could you just say to him "I think I need to be IP but this needs to sound like it is coming from you?". I know my pdoc would happily help with that and pretty much if you say "I think i Need to be in the hospital" they are going to take it from there anyway. I've done that before with things I couldn't deal with, like Thanksgiving.

It sounds like your mom knows how sick you are and is trying too hard to make it better. That's always hard to deal with. I agree that writing those letters could be a trigger and I don't think it is necessarily a good idea although I know she is coming from a good place.

I really hope you get some relief soon Cash.