Our expert says:
And you havent tried marriage counselling ? Apparently he is under awful stress and not enjoying life much, quite apart from anything to do with the relationship. If he isn't "into" much else, its hardly surprising he doesn't feel much "into" you or the relationship, and he should recognize that this is a reflection of his general situation, not something about you or the mariage as such.
Maybe he's been developing an anxiety disorder or Depression, and if so it should be properly treated, with counselling and perhaps medication.
There also seem to be aspects of a traditional "mid-life crisis" to his complaints.
It's so tragic when someone in such an obviously psychological painful situation "doesn't believe in shrinks" and thus cuts themselves off from the likeliest source of help and solutions. Fortunately, shrinks still believe in him, if he will give it a chance.
As maria suggests, you could perhaps more easily persuade him to see a GOP or general physician, and then prime the doctor with information about these other complaints, so he can check for, eg, depression, and suggest treatment for it.
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