My issue is that most people in my life are beyond caring at this point after I've taken too much of their time and energy. I've burned bridges pretty thoroughly with basically everyone and I only have myself to blame for it. The only support network I have is my friend, who has to fly back across the country again soon.
I've been to treatment for my ED multiple times. Also been hospitalized for previous suicide attempts. Spent significant periods of time going to outpatient treatment too. I didn't even mentally process the fact that I was sexually abused, until early last year when I got to a more reasonable weight after being severely underweight. That was when I had my first onset of PTSD, and at that point PTSD and avoiding events that lead to flashbacks basically became my entire life.
My stay in the psych ward is likely going to be extended because the psychiatrist who did my initial evaluation strongly suspects that I've been understating my symptoms and acting unusually calm to just get out of the hospital. This is the first time that someone has ever figured that out. If they extend my stay then they need a judge to sign off on it. I don't know what I'll even be able to do, and whether I can even fight it in court.
I think that, maybe some of the poor role modeling & behavior, that you'd had growing up, may have affected how you were then able to later on in life go about developing similar with others... perhaps? Or maybe, I don't know. I see, on the ED treatment. So, obviously, this can affect many great things psychologically &/as well as, otherwise in terms of health - & judgement, how well you're feeling, and etc. It is also very serious, in that many patients can have high(er) mortality rates, as I undertand it, or understood it then. If I am remembering correctly. I know that with my friend, it was a case of the Dr.'s telling her, she was (or her body was) beginning to feast on herself; and to consume things which were of great importance, such as the heart...
But so anyway! I'm sorry you don't have any greater support system in real life than your friend, who has come all of the way across the country, and on his own nickel, to see you. And to show you, just how much you mean to him, and that he cares. That's more than you can say for most people. Not that they wouldn't want to do that, but that they'd take the initiative to. And that they could. It's also as they say, sometimes / maybe. . . in that: it's all (or, "more,") about the quality, than the quantity. Of or when it comes, to friend-ships & relation ships, and such...
I feel too, like so many others in here, that you are taking on far too much of the blame in terms of, what you're shouldering with respect to responsibility for or over, in regards to--what has happened with your friend, or ex. For, I'm sure that they share some of the blame, or responsibility as well. Now how much should they be held accountable? It's really probably hard to, if not albeit impossible, for you to honestly realistically say. Just how accountable she should to be held in all of this. For it is, I'd imagine anyway, a two-way street. As are most. . .
So I'm saying, I'm sure she could have done some things differently as well. And whether or not, some of what you were doing in terms of behaviors engaged that were deemed, unsavory, had anything to do with self-sabotage, or self-sabotaging. I could not say. Only that, it seems as if, you were un satisfied / or dissatisfied, with something.
And were looking to reestablish some semblance or state of homeostasis, or balance that would bring it back to a more harmonious place, for you to be comfortable with, or in. Or you were just unsettled, and in the mood had this urgent need, or compulsion, to start things, or stuff - & to be "boat rocking," or rocking the boat (as that is what felt most familiar to you, here again, perhaps from before and with what you were conditioned with or by , form an earlier time in life).
-that's my amateur psycho-analsis! emphasis: on the, 'AMATEUR!'
Sounds like your p-doc on the inside, however, has some bright or keen and as in good, analysis or insight into you. In terms of, the accuracy of their read on... So that is good news, even if you don't believe it to be so. Good luck, & best wishes~