Been there myself and seen plenty of others in the same spot. In short, if nothing changes, then nothing changes. If we are beyond human aid, rehab and meetings may help but they are human entities and cannot ultimately fix us. The answer for me was found in the steps and nowhere else. Adopting those principles as a way of life is what brought about permanent recovery. As the book says, I wanted to quit for good and all, and I went to any lengths to achieve that.