Thanks to everyone for the advice and support. I'm going to do my best to preserve our relationship, but I also want to be sure the worst case scenario is considered. Truthfully I am more worried about the consequences to my wife at this point... I know she would be hurt to know I am even having this discussion, but if she isn't willing to at least work with me on fixing our problems, I'm not sure what to do.

Should I have to be miserable for the long run so she will be happier in the short run? In part I feel I'm being incredibly selfish, but at what point is it fair for me to ask that my own needs in the relationship be met?

-C