Thanks to all for the replies - I am feeling better and have talked to the wife (we're going to go see a therapist together).
It's true that if I can't be honest with myself, how can I be honest with her? I've been trying to hide it for so long - and I've finally reached the point where I am willing to do anything to get past this.
I can't lie about it any more to her or my son - they deserve better. So, day one of fixing this mess that I've created. It's about time I owned up to it......
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