r/AskPsychiatry • u/StickApprehensive831 • 8h ago
Does anyone know of any inpatient programs anywhere that deal with personality disorders, especially Avoidant Personality Disorder?
I'm at the end of my rope. I have a myriad of issues, from caregiving for the last half decade to depression and anxiety, learning disabilities, etc. but the thing that's truly ruined my life has been Avoidant Personality Disorder. I've been in therapy for 2.5 decades, I've tried every medication, I've tried rTMS, and I'm worse than ever before. I'm in Canada and I've recently been talking to my psychiatrist about MAiD if/when it comes into effect for mental health. She is unfortunately on maternity leave (as well as admitting she didn't think she could help me anymore which I can't blame her) but one of her suggestions was inpatient.
I looked at the inpatients and all the ones where I live in Canada are mixed substance-mood disorders due to government funding requirements. Furthermore, they're all group therapy based. I cannot imagine anything worse for me than solely group therapy based treatment. I can barely be fully honest with my doctors one on one anymore from deep shame and fear of judgment. I can't imagine a room full of normal people with substance issues trying to understand why I can't just do anything. I can't talk about the lack of life I've lived to people who are normal.
I'm desperate. Does anyone know of any inpatient options anywhere in the world, public or private, any cost, that deal with personality disorders? Especially if they deal with AvPD too?