Our wedding anniversary came and went. We went out to eat with the kids to celebrate. She did not wear her wedding ring, nor has she since she's been home.
We had another opportunity to have a psychiatric assessment at the ER a couple of weeks ago when she thought that she had suffered multiple aneurysms. Though the ER doctor prescribed a few doses of an anti-psychotic "for headache and nausea," and he and the assessor both strongly recommended seeing a psychiatrist, she doesn't remember it that way and has refused to even see a neurologist, which the ER doctor also recommended.
She's opened up to me one time since then about her time in the psychiatric ward (detox, as she calls it), and has apologized for accusing me of poisoning her, but she still thinks that nothing is wrong and that someone had poisoned her.
I've tried talking to her about our relationship and asked her to go to marriage counseling with me as well, but she refuses.
Sadly, I'm realizing that she's been this way for over ten years. It's just gotten incrementally worse. The hardest part for me is the lack of affection and prospect of a celibate life with a dysfunctional partner.
After 22 years of marriage, with three kids still in high school, I'm strongly considering divorce.