Just a comment about the anxiety attack... i've had them, still have them, they don't necessarily *scare* me though... I think it's just my brain's way of telling me there's something *not right* inside of it. The way I work on that, or fix it, is to think positive.
Just the other day, I was having a little attack as a result of my missing ex-OM. I was all messed up and feeling pretty desparate. Anyway, I left work in my car, went to this little place I park to think, I got out my journal and wrote self-affirming things down like:
"I need to live up to my own expectations and stop expecting instant gratification."
"Poetry is a place that brings me down. A place where I actively seek desparate things."
"The positive projection is that H IS the man I CHOSE to live my life with. If H wasn't good enough, I wouldn't have made that choice in the first place."
"It is time to smile. It is time to set MYSELF free."
...Once I'd finished writing that, I could breathe, I could smile and the thought "Physician Heal Thyself" occured to me. So, your W may not need meds at all... she might just benefit from a little positive introspection.
(prior to all the trouble with my R, I NEVER had anything like that happen, I was a total *type B* personality. when the probs really started getting bad... about 2 years ago, i've had to deal with the occasional attack... it's okay, really... I just have to listen to what the attacks are saying)
Your W kinda sounds like me a little bit in terms of sex. But, I've certainly read about and can appreciate your side of it. H believes if we do NOT have sex it is SAD ~ and to me, that's a shame. What's the point of getting sad? I need to try to understand that more... and become more giving.