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hurtintexas, I truly do feel your pain and where you're coming from. My STBX suffers from MS and often needs to take steroids to treat the disease. The steroids truly make her a nightmare to deal with, not to mention the other psychological and emotional issues she has.
I highly recommend counseling. But the key issue is whether both of you are willing to try and make it work. If only one of you truly wants a relationship (not the pretense of a relationship), all you will have is one-half of a solution. Counseling just for you may be valuable anyway to deal with the grief you are already suffering from loss -- the loss of what you used to have together.
Good luck, friend