I am 70 years old. I could easily be the "Jim" you cited in therapy. I had the same battle, struggle and heartbreak. I sought therapy twice, but was at the time unable to open up honestly to my therapist, so it did me no good and frustrated my therapist. I finally "came out" and became a happy, whole person. I have been with my husband 30 plus years. But I will never forget the first morning I woke up and didn't have to put on my "mask".