Welcome to the Forum, firstly you may note your not the only male, and you may note that I am from South Australia.
I imagine at the beginning her family were a tad worried due to age more than anything else and not enough security, worried for their daughter.
Although her Mother having an affair for 5 years and married 3 times well....... she seems to live her own life of importance.
It seems that over the past 3 years at least, you guys have had the roughest time and sometimes love can't hold it all together. Sometimes it can wear a person down so much that living with her Mother, on a pension, being by herself, can seem to CK the better option.
You say your starting a business, working part time, renting, a carer that's a lot for you to take on as well is it not?
I can't imagine just how much stress is going on in that family, living in different states, birth in a car, living in a car, diagnosed with Arthritis, treated with narcotics, now being weened off those.... That's a lot she has been involved in and you.
You seem to hold onto Love, as I said as a "woman" she maybe has had enough and can't cope anymore.
I think that she maybe more so looking for stability, safety....and has lost her belief in what you two "could" be.
It's evident that you love her. But, let's look at this.
Can you get a full time Job in SA, can you therefore rent a place together here, she can then see her family and be with you in a bit more of a stable environment.
Not having sex, does play a bit part and it is still achieveable with what you have described, it's more I think of the drugs etc she was put on, there are many ways to help Arthritis and back injuries can be strengthened.
I think she is at her lowest and if you "as you always have" show support but also a bit more stability, I know starting a business is awesome, I have one, but it's time consuming, eats up money, eats up affection, eats up everything when you are starting and no income....
Have a think if you could mix what you are doing, work full time in SA, let her see that she can have a bit of a comfort zone, family as well as not skrimp and scrape ...
You don't mention your family? Or if you did I missed that, it was a long read..
Understand I guess that women when they break, they break. Guys are stronger, she has dealt with a lot and been there all the way through, she is ill, she has kids, and is struggling with life full stop.
What are you qualified to do? What suburb does her family live in, in SA?
Maybe as I am an Aussie i can help find solutions.
CW



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