Hello and thanks for writing in. I understand your concern for your husband s mental health issues. From the description of his symptoms, it appears that he is suffering from chronic depression, also known as Dysthymia. You have also mentioned that he is very troubled by his past issues of child sexual abuse. Considering all these issues, it would be advisable to take him to a psychiatrist for a detailed evaluation and further professional help. There are effective treatment options in the form of antidepressant medication or psychological therapy. Specifically, there are therapies like Psychodynamic psychotherapy which can help him overcome his childhood trauma. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist