He does make it way harder on himself and everyone else around him. I'm hoping the therapy helps

I'm really grateful I met you instead of someone like that.  I can't even imagine what living like she does is like.

Neither of them have dysphria, the only person I know offline with disyphoria is my husband.  P is my best friend, she works with Nikki.  J is her husband, and has been in severely declining health the last few years.  But he's making it worse, he's not exercising(which is a HUGE control for his condition), he's still chain smoking, and drinking masses of sugar and caffeine that all increase the stress on his body and make it worse.  When he WAS doing his rehab and following the rule she improved dramatically.  And socially he's sort of put me to the point where I don't care.  I SHOULD care that someone is suffering that much.  I should care hugely that it's someone I know, but I just...can't.  I see all the suffering he causes her, and I just can't. 

I don't want him to die, I would call for help if I walked in on something, but mostly because SHE would suffer losing her husband more than to save a person.  Sometimes I just don't feel what I should feel.