***UPDATE***
Couldn't take it anymore, so I breached the topic as best I could under the circumstances this morning. I took all the punches (figurative), the blame, the "your a hypocrite", and all other things I won't bore the experienced folks here who would simply say "yeah, nothing new...". Despite all that, we at least have a little bit of mutual understanding on the matter and she has agreed to see someone at an "intensive outpatient facility" locally. Its a step and its what I got for now.
I'm going to "celebrate" and mow the grass then do some chores (woohoo, life is fun!) and try NOT think about this for a few hours...