Counselor suggested medication would help but W is vehemently opposed to medication.
Tobias,
My mom has always resisted any kind of medication including aspirin and ibuprofen. About a decade ago she suffered from severe depression and, to her detriment, she wouldn't take any medication. She needlessly suffered for a number of years.
I recently read something interesting about MDMA (aka ecstasy). Apparently there are a number of couples counselors that strongly believe that MDMA can be very helpful in couples therapy because it helps break-down barriers to communication. Interesting stuff.