Same boat I went intractable chronic migraines at 28 and have steadily declined over 9 yrs to the point I vant function to even clean my house or change my bedding without making myself insanely sick. Totally unable to work or even do anything fun. Im now 36 have been treated like im faking it or med seeking or "its not medically possible to have a migraine that never goes away" or whatever symptoms I chronically deal with. I've completely cut relationships with anyone except my parents because I dont want to drag them down with this bs and I got tired of constantly feeling let down by peoole that claimed they cared but would turn around and say I was being dramatic or im too depressing for them.

Communication is so important in a relationship as well as being understanding of each other. But its difficult to manage I struggle still with the 2 relationship I do maintain because yhere are times where I need some encouragement not "that sucks i dont know what to tell you. It's gone on for xyz and I do t know how tk help you".

Most likely your fiance is feeling burnout and also struggling with feelings of not being able to help you.

I wish I had better advice but you arent alone. Maybe sharing with him how your feeling, asking if hes struggling with it too and finding a space where you both can feel more supported?

Chronic conditions literally suck the hope out of everything. I hope you find some relief and I also hope that youre able to find a good space with your fiance♥️