I wish I knew the answer to this. Presumably you know what additional types to therapy & treatments (CBT, DBT, ECT, etc.) are out there... probably better than I do. I've recently begun to feel, in my own case, that I wouldn't mind if I would just quietly slip into final insanity. I've struggled with my issues for so many years I'm just tired of it all. The idea of just losing it altogether seems somehow comforting. The thing is, though, I'm old. So I wouldn't have that many years to live in a state of terminal insanity. That's not the way a younger person would want to spend the rest of their lives. I guess, as has already been said, you just have to keep trying... different therapies / treatments, different providers. Somewhere out there, there is (hopefully) something that will work.