I think this is a great illustration that life is complicated. They obviously still love each other enough to stay together. There is so much more to a relationship than sex. If he's getting his needs met and they can make it work, I won't judge. It's disappointing she won't get help but sometimes people need to hit rock bottom before they're ready to accept help.

Yeah, just because your personal life gets complicated at some point, it doesn't make you a monster. Some of the kindest, most open-hearted people I know are also the biggest, messiest drama-royalty you will ever see. Hell, the two may even go together since they both involve processing big feelings.