Hey Seared -
I think many of us don't have a bottom -- regardless of how intelligent we are or aren't. If you can motivate yourself to quit drinking because of negative consequences then you aren't the kind of alcoholic that I was before I got sober 7 months ago. Sure, there's a level of commitment to your recovery that's involved, but it comes in small chunks: one day at a time, one hour at a time, one minute at a time.
Maybe if outpatient rehab isn't working for you then it's time to look into in patient. I found I wasn't able to get sober until I was able to make big changes to my life to make it inconvenient for me to drink, but I couldn't even get to the place where that would make a difference until I had been dry for a month.