Our expert says:
I'm puzzled. It's unusual ( maybe I'm misunderstanding your message somehow ? ) for a couple to go for counselling for 4 years, for anythin, maybe especially not for sexual problems, and not sort it all out. Similarly, 4 years is a long time for someone to be on any antidepressant, insluding Cipralex, without it clearing up their depression.
It's imposible to tell from this distance whether or not you have good reasons to be worried. A second opinion all round would be wise. A second opinion as to whther he is actually suffering from a current depression, and if so, whether a different AD would suit him better. And similarly, with all due respect, 4 years of counselling with the basic questions remaining, raises questions about the skill and methods of the counsellor.
And I think you may be right that he may need to work alone, too, on any issues troubling him, rather than only together with you - but it's not clear to me from your message, to what extent it is YOU worrying about the issues, rather than him
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