Until your W gets her health stuff sorted out, the chances of her being in a place where she can make any big decisions are pretty minimal. And yes, unless she stops getting headaches, you will be dealing with this for a very long time (the sister of a nurse in me wonders if she has tried chiropractors, massage therapist, and acupuncture/acupressure - massage has helped my headaches a ton because stress would cause such severe muscle tension that I would actually pull vertebrae out of alignment which would then bring on headaches and even migraines).
It sounds like a strange dichotomy with her. It seems to me that she hates depending on anyone else, accepting help, but she does when her headaches get bad. But then she reasserts her desire to be independent and feels weak/guilty about relying on you.
Your increased communication is pretty recent, so give it a little time to see if it has any more positive effects. In the meanwhile, just brainstorm. What actions could you take to shake things up with her? Write down EVERYTHING, no matter how strange or unlikely to work. Then think about what would be good to try next.
Michelle - Proud DR Rockette S: 28JUL07, D'd: 29OCT09 http://tinyurl.com/27j9qo2