She has no ROI for him but DOES for me. We were referred to this therapist through my psych team/case manager, so she has all of my relevant history and psych issues well-documented but does not know any of his. And because she's being paid through MY insurance, at MY request, I was really hoping that she would be more receptive to what I have to say.

I feel that the whole ROI thing also has an impact on how she approaches therapy because I also have a diagnoses that can negatively impact a marriage (referred for PTSD from a past rape, but also diagnosed w/ ADHD, ASD, and bipolar). I'm in treatment for all conditions and have been consistently working on myself for years, so am open to constructive criticism and improvement.

A great deal of the time I am at my baseline, with infrequent and relatively short (<1 week) psychiatric stays. I've had 3 hospital admissions for less than a week each in the 7.5 years that we've been married and most of my symptoms are depressive. I am also taking medication and attending therapy at least 1-2x/week to monitor and prevent future symptoms for the bipolar and attending weekly intensive treatment for the PTSD, which is really important because the main reason that we are having issues is lack of physical intimacy from the PTSD symptoms and how he's been treating me as a result of it.

Definitely struck a wet match during a monsoon. I don't even know where to go from here.