Dear Abby >> My husband is miserable. Five years ago, he was fired from his job of more than 25 years, and the small issues he had with depression, alcohol and smoking have multiplied exponentially. He sleeps until 10 or 11 a.m., showers only two or three times a week, rarely eats and has a drink in his hand by 4 or 5 p.m. every day. He now suffers from COPD but has no plans to quit smoking.

My husband has lost so much weight and muscle mass, he’s barely recognizable. He seems to miss sex, but even if he made an advance, his lack of physicality would make it miserable. At any rate, I’m no longer interested.

Beyond the quiet misery of home, it’s tough for him to go out. He has a hard time with stairs, walking very far and even ordering from a restaurant. I feel he is trying to hasten his own death. I honestly feel there is nothing I can do that I haven’t already done. Do you have any advice for me?

— Hopeless in Kansas

Dear Hopeless >> Your husband seems to feel he has nothing to live for. You mentioned that he seems to miss sex but is now in such bad shape that you are no longer interested. Have you told him the reason you are no longer interested is that he’s no longer the person you fell in love with, and a giant step in the right direction would be for him to consult his doctor about his depression? If the answer is no, consider offering him that “carrot.” If he’s willing to try to get back on track, you might feel differently.

There are nicotine substitutes for the truly addicted, which help users inhale fewer damaging byproducts. That said, the bottom line is your husband has to WANT to help himself. If he doesn’t, it may be time for you to locate the nearest Al-Anon group (al-anon.org/info) and attend some meetings, which will help you to recognize that his self-destructive behavior is not your responsibility.

Contact Dear Abby at www.DearAbby.com or P.O. Box 69440, Los Angeles, CA 90069.