I have to add that I do think there is hope. When R was fine and balanced, there was a major positive effect on both W and me. Now that it is distressed, there is a major negative effect from it on both of us.
KML, I see your point about chronic issues, but I also have seen her at her best. I don't think it wise to pigeon-hole or limit her based on a diagnosis. I think we are all a bit flawed and all have great strengths as well.