I have had a couple of discussions with my wife about this, and I think she is taking it well. We have not had sex for a while and she understands that this is part of the problem (but not the whole cause). We both know that. We are scheduled to see a therapist in May - and I've ordered the R' Arush book, but already tried putting into place the not critisizing my wife aspect. Things are looking up, but I know there's a long road ahead before I feel like I'm (we're) out of the woods.
Anther clean day, but I have to relax some of what I've been doing because Tuesday at Maariv my nose spontaenously began bleeding. A long time ago I had a problem with nose bleeds for no reason, and had to have a vein cauterized. This time I think was due to stress. [It did not help that there was a huge argument at shul when a Sefardic visitor who had a yartzeit davened Mincha from the amud, and no one could understand him (very unusual but people were looking around with amazement and only one or two people responded Amein). One person went berzerk afterwards louddly confronting him and it was very uncomfortable for about ten minutes among the tzibur.]
Since Pesach, I've asked that we get rid of the television set - but my wife doesn't want to. As a compromise, she keeps it covered and does not watch it if I'm in the room. Still, I am having to adjust to not indulging in that time-waster, because it was something I used to wind-down after work.
Since the beginning of the sefira, I've not been listening to music other than acapella. But I am a musician (have been a pro but not any more), and love listening to music and have listened to it all the time since I was a kid. I tihnk the halacha is that for someone like me, I am not obligated to refrain from hearing instrumental music (except at live events) - but for the last couple of years I've tried to listen to only acapella CDs. I have about a dozen of these, but after a couple of weeks, I was getting very tired of that music. I think the combo of the sensory deprivations (including staying away from inappropriate viewing both online and at work etc.) and the stress from the issues with my wife, etc. became too much and my body freaked out.
So, I'm back to listening to music, but the rest is still in place.