God bless you. I have worked with people like this, seen marriages to schizophrenics (somewhat less severe that Sally), and seen families supporting children w

God bless you. I have worked with people like this, seen marriages to schizophrenics (somewhat less severe that Sally), and seen families supporting children with severe autism. Many of these are wonderful people and you are blessed to be able to see this. But you, yourself, are going to need help to make this work. Doing this for 18 months is one thing but you are going to need to build serious structural support for yourself to make the long haul. Build friend and family relationships where you can talk about what you are going through and which are committed to helping you through it. Make money, save as much as you can and avoid debt like plague, you already have enough stress in your life. Get a life insurance policy, get a will that creates a trust for Sally and receives the proceeds of the policy. If you are of any faith consider building up your church community. You are essentially married to a not-normal person. You're going to have not-normal problems. It's okay to feel sad and tired and frustrated. Have people around you to help carry the load. You have taken on a vocation as mental health advocate and social worker. Case management, navigation of the health system, is actually a profession, if you look around you'll probably find tools and practices to help you deal with the enormous administrative overhead involved with services. Please don't take this the wrong way, but you should go get yourself checked out for psychological and emotional dysfunction. You are clearly yourself not-normal, which is awesome, but take seriously the possibility that you've got weaknesses of your own that need work. If you had ADHD or depression meds would make enormous improvements in your functionality. Even if it's all good, being in therapy, even only once a month, might not be a bad idea. Having a professional who knows you and can spot signs of depression or stress or anxiety could be handy. I can't say enough how much I admire your vision and determination. My apologies if all of this has already occurred to you. Please take care of yourself.