I’ve been in therapy for 11 years now, over half of my life, and things have only improved very marginally.  It seems impossible to implement DBT skills.  They’re all unreachable.  I’ve been in more than one IOP and was in residential treatment for 30 days this summer.  But as soon as I’m responsible for myself I revert back to complete dysfunction.  Quite frankly I’ve lost a lot of hope and trust for the mental health industry and don’t see a way out.  I’m experiencing suicidality on most days.  I can’t be the only one who is averse to DBT.  Are there other modalities that are effective?