Jim that is great that she has realised on her own that she was overdoing it. It seems like she can see the signs whereas hubby cant seem to notice the signs enough.
Don't give up on your husband Jen, Evie is only in the "baby stages" of being aware of herself in our opinions. We are very proud of her for this latest realization, however she has been pushing herself to the extreme for months when it comes to therapy. And prior to being in therapy, she pushed herself too hard in other respects, almost daily, for nearly 5 years. It has destroyed her physical health. I believe this is the primary reason she is becoming aware, she now sees how ill she is physically and comprehends the part she personally plays in that. The doctors all tell us had she not run off like she did, she could have had her corrective surgery very soon after the shooting, and be quite normal now. But sadly, the PTSD overcame her and she has in effect exacerbated her own chronic illness. It is a very bitter pill to swallow. She is beginning to realize it and as a result is having a break from therapy. It has hit her hard.
To return to the point however, I am saying it's taken Evie several years to reach this point, so never give up, your husband will reach it too I am sure. But hopefully before his health is compromised.