I got together 1-2 years after my attack...I knew it would be an issue and I was honest. Still, I wasn't prepared how my my PTSD and problems would affect him in the long run, and he wasn't as well. Sometimes I do feel like I am the reason he is so stressed. I keep getting better, and with that so does our bond. Despite implying how tired he is of me being this way, he is sticking it out and we are better for it. I am still afraid at times, that he would get sick of it before I am fully healed and well...But he's been really patient and I am giving it my best to get better and hope that I'm not too late. How long has it been since your attack? Sometimes it's hard for anyone other than people who have went through this, to grasp how much time and effort recovery takes. Even without health issues. Have you tried explaining to your husband exactly how and what you feel, but also telling him the steps you are taking to get better? And telling him more about what happened to you too? Or you can take the other approach and try to find venting outlets outside of him and leave the time with him for fun and being together. Knowing my boyfriend and how he was I get how hard it is on the spouse too. So if you guys have been through a lot together, try to understand as well, and give him time with his wife, remind him that the recovery process isn't permanent..I don't know which approach is best, since I don't know all about the situation. But it is hard being with a spouse while going through this. They end up going through a lot of it as well without understanding what it is fully. It's not easy. Hope you find a way to work out things with your husband. 20 years is a long time, it means you've had time to go through a lot together...So don't give up on him, even if he's pulling back a little.