{{Cashmere}} Lack of sleep makes all the other stuff so much worse. No letting the universe win though. Snarl at it some. Kick it in the shins.
How do you get outside yourself and judge how you are coming across to people?
A most difficult process. But a huge step to see that he needs to do this. I think it would be very tough to take on the role of being his reality check as a spouse. Encouraging him to keep a journal of personal encounters to more carefully examine them himself might help.
There have been a couple times in my life where I was perceived as a person I am not and it was very upsetting. I think I would have been too defensive to easily accept help with it and had to work it out myself. (being defensive one of my issues)