They are extremely sensitive and yes I have experienced many confused states in her when she is struggling. It's terrible to see someone you love in pain. I feel so bad for her when she is struggling. Of late though when she struggles she becomes angry very easily and raises her voice often. I don't think she would ever be physically violent but there is anger in her voice that rises up very suddenly , especially after a drink or two.
As for me and therapy, I started to talk to one of my own a few years ago when she and I almost divorced previously, changed about a year ago due to my previous one retiring . It helps