Its not ok for a husband and parent to “live like that” though. I can’t believe the way some posters are dismissing the indifference and contempt he is showing his own children and his role as husband—you would never accept this treatment if we were discussing dogs. There the owner’s role as caretaker is paramount. Here its optional?
I think counseling is a red herring. If his therapist is treating him for depression then that is what they are working on and the recommended course of treatment is either medication or activation. The therapist isn’t going to give him a boot up the backside and a stern reminder that the children’s needs come first. If the therapist does the patient fires the therapist right away and any possibility of therapy ends.
He needs treatment for his retreat into narcissistic self absorption but no one accrpts therapy for that because narcissistic self absorption is their solution to tbeir problem. Its not the problem for them. Its a problem for OP. He won’t work to cure a problem he doesn’t recognize.
Ask yourself, OP, whether you can go on like this? Can he pull out of this tailspin? Can he learn to empathically relate to you snd the children and fulfill role expectations like husband, partner, lover, father, SAHP? These are roles that he has dropped either because he is too sick or because they are not satisfying to him. He no longer wants to do them.
Of course he may be also having an existential crisis due to the sepsis. That crisis is a real thing after medical trauma. But you have indulged it for a year. I think its time to tell him that you can’t keep doing both of your jobs. Because you can’t. You will burn out.
I tbi k you might just say to him: I sm at my limit. Do you think you will ever go back to caring for me and our children, our lives, finances, security, health, and happiness or are you just going to be claiming to be an invalid for the rest if your life?
See what he says.
Oh, snd by the way “ you work all the time” means “you aren’t giving me enough sex and fun attention.”