Ok, I'm prepared for what I'm about to say to be poorly received, but I assure you, it is my honest opinion, with your best wishes at heart.
Take the message on board, or discard it, up to you.
Your running faster and faster around in circles like a spaniel chasing it's tail
... This is a classic 50's marriage role reversal.
She is the Alpha female and you are the tragic doormat with an entrenched victim mentality... battered husband syndrome...
I'm sure she's craving for you to act with a bit of moxie, spunk and decisiveness (perhaps like the man she married?)
It may be that she is so skilled a manipulator, that she's able to convince the therapist the issues begin and end with you...
I mean come on, she's denying sex for 20yrs, all the while hiding regular masturbation sessions from you, and sending you to counseling for your masturbation “problem”, and the counselor gives YOU coaching and worksheets...!
Your only hope is to rapidly grow a backbone and let her see you have one.
If becoming assertive fixes the situation, wonderful. If you find out she is secretly not (or no longer) attracted to men. That's hard, but at least you know and if so, it's pretty cruel to manufacture a scenario where it's all about you if this was the case.
The only unsustainable thing you can do is keep doing what you've been doing, and being the way you've been being.
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