I know what you mean about medical services and they are getting less and less funding from Govt (UK at least). The first areas to be cut are always those that affect the weak and vulnerable - ie Mental Health, Disability and the Elderly. Alcoholism also has quite a stigma associated with it, so its a lot to deal with and keeps you in the spiral of low self-esteem, depression, anxiety etc. Are you able to detox safely by yourself without Librium or have you managed any periods of sobriety only to slip back? How successful have your efforts to give up been to date is what I'm asking really?
To be honest, it wasn't the medical interventions and therapies that actually caused me to stop drinking, although cognitive behavioural therapy did help. The thing that did it for me was learning all about the science and physiology of alcoholism - this helped me understand the nature of the beast I was dealing with. I felt like I must be completely insane because I'd be absolutely certain I would not drink again, then literally within hours I'd be drinking....complete madness! How can this happen I kept thinking, its as if I had two brains or my brain was fighting itself for control of me....I realised I was fighting against my own brain. Reading up about the physiology gave me a real insight into what was going on at the brain level. Essentially one's neo-cortex, the more evolved rational part of the brain is in conflict with the much more primal part of the brain, the amygdala which controls basic instincts and reward mechanisms etc. Both are fighting for control of you, this is why there is a common feeling of a duality going on, or madness. Now knowing my enemy, I could formulate ways to combat it - just knowing I wasn't completely mad and there was a process going on helped a lot.. The trick is to tame the "monkey in your head" and let the Neo-cortex gain more control. The trick is to find ways to slap the monkey down each time he pops his head up (cravings)by various techniques. This is difficult at first but becomes easier. I'd force an image in my head each time a craving hit, say me rattling on the sofa first thing in the am trying to force a can of flat warm strong lager down to stave off the possibility of fitting through withdrawal again. Others would be my sad childrens' faces looking at me etc - force the horrible images to the front of your mind and slap fuck out of the monkey that is 100% determined to kill you.....Anyway, probably waffling on now but just want to try and save you a couple of decades. Know your enemy and then you can arm yourself and plan your attack. It's definitely not easy so resign yourself to that, it's tough and you will slip up, recognise the slips for what they are before they become full relapses, don't beat yourself up and if you do slip, dust yourself off and go back fighting...Good luck