Wow Lucky....Just not sure what to say. You are tacitly accepting *his* fear about being seen as crazy (by whom, I have no idea) as a reason for *you* to not stand up for your sex life.
I know its really complicated and all but....wow....I just can't imagine a man telling me that because he won't go to counseling for his own paranoid reasons, that I also couldn't go or that we couldn't go as a couple.
And try to remember too that, 20 more years of no sex life WILL make you crazy....so which is less painful? Forcing the issue on him even if he resists? Or making him see that his resistance is simply another way for him to avoid intimacy?