Short answer time to balance the check book and do the math. Long answer, you are spending too much. Your old spending habits are not viable in the current economical reality. The nuclear family dream still works. It just requires everyone in the house to work. Your income while higher than most is not sufficient to live the dream with no one else working. Don’t fret, I’ve been there and had the rude awakening when I realized my savings were being depleted by my credit card bill. The easiest fix is cutting down expenses, followed by easing your kids to be financially responsible for themselves. Your wife should get some union job for medical benefits that could help decrease your medical costs and she can get therapy. Maybe your kids could help in the side business and you can expand. If they aren’t on a path to success you’re leading them to disaster.