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“My wife will not speak to me”

This is a real problem. I am at my wits end and I do not know what to do. I have been married for nearly three years and was with my wife nineteen years prior to that. We have had a fairly volatile relationship over the years and about six years ago the arguments had tipped over into unbelievable week-to-six-week silences with two episodes of physical abuse spread over a few years. My wife finally, out of desperation, was taken to the doctors by a friend and started taking mood stabilising pills. The results were astounding! The daily / weekly arguments stopped, when we did argue again it was fairly reasonable and things went back to normal fairly quickly so much so that after a few years we got married.

A few months ago my wife decided to stop taking the pills without advice, and things started slipping. Last Sunday when my wife went to get sausages from the freezer and there weren't any she hit the roof! I was called a self centered man that only thought about myself, that she was sick of my inability to remember shopping we need and stormed off into her room and jammed the door shut. I was away the following day till this evening for work. I texted her three times and she did not reply, even when I said her friend was meeting me and she could talk to her. I got back home around an hour ago and she walked out of the bathroom, into her room and blocked her door shut without a word said to me. This is what she used to do in her really bad patch, before the pills, sometimes it would go on for, at the longest, six weeks.

She has already told me she will not go back on the pills, so that's not a option. I promised myself years ago, before our relationship nearly ended, that I would never take the emotional and physical trauma again. Looking back I was self medicating with alcohol and food and was way up at nearly 17 stone and I was fast approaching type 2 diabetes. I managed to turn that around, started going to the gym and lost, and kept off, nearly four stone. I do not want to go back to that again, my body and mental health could not take it. I love my wife, but if she will not talk to me how can I sort this out?

There has been over the last few months a slow slide toward unreasonable arguments and this is the worst it's got. I don't want my marriage to end and I'm desperately trying to think of how to sort this. Because I cannot take what I took years ago again. She will not talk to me, and when i suggested going to couple counselling she flat out refuses. Is my only option now separating and divorce?

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