[Admittedly, the side effect of “tightrope walk to keep sanity together,” doesn’t sound great. But Viktor can handle that, can’t he?]

Of course. He’ll want to be involved.

[It’s just a concern now, that if the stakes seem too high to Viktor, he’ll refuse the treatment…]

But your solution— it’s worked for years, hasn’t it? Is it something Viktor could also do, to alleviate symptoms?