I think you need some kind of fresh start, Hold; not necessarily in your marriage, but in some way that you can really shake things up for yourself. You've been in quite a rut for a long, long time.

Would finding a new, better firm to work for make a difference?
Imagine, nobody knows you, you can reinvent yourself in a new way.

Do you have buddies with whom you can go out and slam a few beers? If not, can you see yourself developing some loose friendships that way?

Just anything to shake things up.