I'm not sure. One good step would be to talk to your therapist about options. Also, there could be some individual outpatient counselors in your area that might do more eating disorder work.
I'm guessing that getting the eating disorder treated maybe hasn't worked because they maybe were not also addressing the underlying PTSD. It may work better this time.
Inpatient would be tough, but with the level of symptoms you are having, it might really help stabilize everything overall.
No matter what option you pick, I don't think it will work as well as it could until ready to ask for and accept whatever help you need to get better.
Wanting to stop and being ready to do whatever it takes to stop in order to SAVE YOUR LIFE are two different things.
You have stated a lot of options that won't work... it's good to keep considering what has and hasn't not helped before, but I'm concerned you keep pushing help away while you are suffering so greatly.
I have struggled with an eating disorder at times. Relapse and setbacks are a part of the process towards healing. It happens. It doesn't always mean nothing worked. It often means more work needs to be done. Same goes for PTSD.
Plus, with PTSD, often things get worse before they get better - so just because things get worse for a bit, that doesn't always mean a treatment isn't working - it may jut mean you have to keep going, keep at it, for longer and then you will see big improvements.
At this point, what do you have left to lose by trying the options you have tried before? This is a serious question. It's important to consider. Think of what you are losing now by not trying those options. Then consider them against the downsides of getting more treatment - you are really good at evaluating pros and cons of options. (And good at many other things!)
I'm very concerned that if you keep going on the path you are on, trying to stop this all on your own, you are not going to make it. If you get into treatment, with them now knowing you have PTSD (essential!), at the very least you will have times where you have more support around the pain you are in. If you do go inpatient, there are even some great places that integrate PTSD and eating disorder treatment and use different models than what you have maybe done before.
Don't lose hope - things won't always be this hard.[DOUBLEPOST=1400622778][/DOUBLEPOST]:hug: