Hi FixingMyself,
Firstly I think your writing about my H, stress and dissatisfaction at work, numbing problems with medication and alcohol, not talking to or reaching out anyone etc.
H and I agreed to have individual therapy mid last year after realising things were not going well. After one session where H talked only about the marriage problems H's counsellor said if he wanted to work on marriage he had to bring me along. I agreed. Initially h wasn't to impressed because he wanted to blame me for everything and counsellor wouldn't let him and challenged his thoughts. When I realised H was having panic attacks in sessions and was pre-medicating before sessions I realised that unless H started to work on and acknowledge some of his issues we weren't going to achieve anything. When I raised this with counsellor I was told I couldn't keep blaming anxiety on problems and that he (counsellor) could fix his anxiety in only a few sessions. He said I was being resistant to therapy. After this things went downhill and when H complained about things I hadn't done the counsellor took his side and said what I was doing was not good enough and I was not living up to my end of bargain. When I finally had a breakdown due to pressure of being so criticised and blamed I was then told by counsellor that I had to stop playing the sick card to keep my husband. At the time this gave H the out he needed as it was confirmed by a counsellor that I wasn't good enough and that night he left. At the time I was baffled because I had been setting goals with my own counsellor, physiotherapist and doctor and had been achieving these goals. I was doing everything that i had been told to do by all my professionals and by H's counsellor. I was very open to accepting responsibility for the part I played in my marriage and the things I needed to work on and change.
I can see now that the counsellor didn't get or see the full picture. H wasn't in a place to admit or acknowledge his faults or problems or to take any responsibility for the role he played. He was out to blame me for everything and managed to turn the counsellor around to his side. He wasn't honest with the counsellor and only shared a small part of his true self. I think he was to afraid to face his demons from his childhood and within himself, an earlier psychiatrist that he saw 5 years ago wrote in his report that until h is ready to face his problems then he will continue to have problems and lead to further problems in the future.
So in my opinion unless the therapy is embraced by the spouse and they are ready to admit the problems, get help and follow any advice given then no I don't think it can help. Obviously this is based on my experience but i do believe that no therapy is worthwhile unless both parties are ready for it. Having said that it doesn't stop you from supporting and encouraging your spouse to have therapy if they bring it up or talk about it, I just wouldn't push it on them. Even if they do go, therapy can be very confronting and it may take a few attempts before they really embrace it. Once again all you can do is encourage and support and not judge them if it doesn't work the first, second or third time. Even if they do give up on therapy they can always go back at a later date when they are more ready.
My only other opinion is don't be afraid to change counsellors or therapists if it's not working for you after a number of sessions. Like anyone you meet in life you you will not always click with all therapists. While you do need to give it a bit of time and be patient there is no rule to say you have to stay with someone that is clearly not working for you.
I wish desperately that my h would get help, he has had a referral to see someone now for 6 weeks but has not yet made an appointment as far as I know. It's hard to stay calm and patient and not push him to go. But my pushing wont get him there any quicker and will only make things worse.
I hope this helps and I wish you all the best as you travel through this crisis, it's not easy and I know you want to help as much as I do, but all you can do to help is be supportive and encouraging of any decision he makes regarding therapy. It is OK to want to help, you wouldn't be the loving caring person you seem to be if you didn't, we just need to love, care and help in different ways.
Take care
Ez xx