csw,

Your sitch makes a lot of sense in light of what you are describing. Physical issues DO have emotional ramifications that significantly change things - it is too bad that you didn't share that at the time. Where you are left is to own your part of the problem, talk about that in counseling, talk about what changes you are willing to make, validate your W's experience. If there are "dead air spaces" in counseling - GEL is right, let the C fill them. If your W asks for a separation - Ask outright for a specified length of time to work on things - six months or a year sounds right. Point out that it can't make things any worse.

Good luck.

Karen

PS Keep looking for room for those little touches AND lots of eye contact!!