3. Your health is impeding on your marital duties.
A man and his wife of 68 years are in their 90s. She has Alzheimer’s and he’s her primary caregiver. They still live independently in their own home. He’s noticing a loss of his own health as he deals with the stresses of providing physical care to his wife, while he watches her mentally deteriorate. He may literally be killing himself to keep his promise of “in sickness and in health.”
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