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Cary assumed the depression was a result, in part, of the negative relationship, and that's likely some of it. But we have no idea how much that depression skewed his perceptions, their relationship in general, or their sex lives. Now LW, and we, are assuming his wife only wants him to get his libido back so she can manipulate him. Again, maybe true. But perhaps he's now more attractive to her than he's been in years, and now HE'S withholding the sex. They need some reevaluating, and probably some professional help (which ought to be part of being on the medication, but, real world, may not be) before deciding where to go with their relationship.