Hey guys, I'll just jump in here with my experience and maybe (or not) it can help. When the spouse and I started counselling to help with our R problem about 2 years ago, we first went to a health assigned provider and the first session was just chaos and not much happened, although that counsellor referred me to the one we are now both seeing. I saw the second counsellor alone for about 8 months, almost weekly for a while. She helped with my ability to be able to express emotions and learn to that better, well not perfect according to the spouse, but she has noticed that it's better. I had been repressing emotions and their expression for a very long time and the counselling has helped me figure those out. I am of similar age to you guys and was brought during the "guys don't show emotion" time, so it has been and still continues to be a tough journey for me.
Anyway, after about 8 months of my seeing the counsellor we invited my spouse to join us and that has gone quite well. My spouse does not feel ganged up on and has gone in to see the C a few times on her own to deal with her own body and self-esteem issues. So in our situation things worked well. Although were still working on the sex thing, or I wouldn't still be here.
I hope for you guys that things work out better this time.
"Satisfaction is not guaranteed." Rule #19 Ferengi "Rules of Acquistition"