"My living environment causes me to sin. Ultimately it is my own selfish desires and lack of self control. It is the equivalent of an addict needing to get out of the environment. Unfortunately there is no rehab in this situation. I've sought medical and therapeutic interventions in the past. None have helped. I truly believe me fighting Gods will is what's causing this. But what He is asking of me seems impossible."
You seem to understand your biggest need- you need to stop fighting God's will. What God requires is never impossible because He makes a way to not succumb to temptation to those who seek Him with their whole hearts, He empowers them to do what He commands, and He makes sure that they at least receive what they really need as they so seek Him.
Psalm 34:6-16: "This poor man cried, and the Lord heard him, and saved him out of all his troubles. The angel of the Lord encampeth round about them that fear him, and delivereth them. O taste and see that the Lord is good: blessed is the man that trusteth in him. O fear the Lord, ye his saints: for there is no want to them that fear him. The young lions do lack, and suffer hunger: but they that seek the Lord shall not want any good thing. Come, ye children, hearken unto me: I will teach you the fear of the Lord. What man is he that desireth life, and loveth many days, that he may see good? Keep thy tongue from evil, and thy lips from speaking guile. Depart from evil, and do good; seek peace, and pursue it. The eyes of the Lord are upon the righteous, and his ears are open unto their cry. The face of the Lord is against them that do evil, to cut off the remembrance of them from the earth."
It is impossible for anyone to go wrong by surrendering to the God of the Bible, diligently continuing to seek Him, and cooperating with what they know His Word requires. Impossible. Trust in Him and keep trusting Him no matter how bad things look. He will never fail one who so trusts Him. You will never regret it if you do so and never turn back.
Joshua 1:8-9 "This book of the law shall not depart out of thy mouth; but thou shalt meditate therein day and night, that thou mayest observe to do according to all that is written therein: for then thou shalt make thy way prosperous, and then thou shalt have good success. Have not I commanded thee? Be strong and of a good courage; be not afraid, neither be thou dismayed: for the Lord thy God is with thee whithersoever thou goest."
1 Peter 2:6 "Wherefore also it is contained in the scripture, Behold, I lay in Sion a chief corner stone, elect, precious: and he that believeth on him shall not be confounded."