Hi @LadyShadow. Is there any way for you to get a wee bit of a break from the service work? Have you talked to your designated therapist and psychiatrist about this? I don't fully know what kind of rehab you're in or the details regarding the service work, but I can say when I was inpatient for my bipolar disorder I sometimes had to step out or skip some of the sessions/activities. It can indeed be overwhelming. And I know that inpatient, one cannot fully relate to all (or any) of the fellow patients. Don't worry yourself that you don't.

During my first few hospitalizations they put me in a "dual diagnosis" ward. I definitely felt alone as they seemed to concentrate 100% on addiction, when what I really also needed was help with my bipolar disorder and issues relating to the then recent death of my mother and some issues at my workplace, and more. Even most of the dual diagnosis patients seemed to talk exclusively about addiction. I found the dual-diagnosis ward therapists to be like generals, at times. So inappropriate! Even detrimental, sometimes. I'm not saying that my drinking hadn't been a serious issue, but it was not to be treated as the only one. In my case, my bipolar and drinking were quite linked, at the time. I happen to dislike the branding (word chose deliberately) "alcoholic" or "addict". They will never cease to bring with them negative stigmas. I see them more as serious mental health issues, often linked with other ones, like bipolar disorder.

If any of what I shared is relevant to you, then you are certainly not alone. Either way, sending you hugs and wishes for strength during this challenging time for you.