Suzanne
                    
                    
                    
                    
                    
                    
                    
                        
                        
                        I am a 36 year old woman who developed anorexia/bulima about two years ago.  Because I am familiar with the topic I recognized it as an illness when the bulimia set in.    This is no doubt a symptom of 18+ years of depression but it is so much worse now.  I sought treatment and having to threaten my HMO allowed me to get treatment for about a month.  This was not sufficient and I left only to return to periods of anorexia followed by periods of bulimia.  In treatment they really pushed the 12 step programs but this is not for me.  I have been and imagine I will always be pretty much a loner.  I can manage my depression when I am in anorexic mode (far more functional and productive) but when I am in bulimic  mode I often just see no point of trying anymore.  It is at this point I just want to die.  Eighteen years of therapy and then I develop this.....Tired of trying to get well, realize I will   never be okay with myself, always see the flaws, see how dumb I really am, realize how I don't do well with people.  It is rare to really trust people because they say one thing and their behavior  is not consistent with what they say.    What I really need help with is knowing how to get treatment, long-term, having an HMO and no savings.  What exists out there for people with issues such as mine?  The three days insurance and HMOs offer  for stabilization is a waste.  Nothing that will work long term will occur in three days.  I have been hospitalized for my severe depression numerous times over the years.  Medication sometimes  helps but can't really tell whether it meds or something else I am doing.      Right now I have a job and am managing but with the ups and downs and the stress of my work it is only a matter of time before I have to make a decision about what to do with myself.  Thanks for reading this.