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I think in the situation you have presented above, a break could be a good thing for both of you. I know it's not going to be pleasant for either of you, you two are all you've ever known by the sounds of it. Not that I would call it unhealthy, but it definately has it's downside.
I had a situation with my SO a few years ago. I needed to make a break from him and explore other aspects of myself as my own person. This took me about two years. It was an upsetting time but it was great in the fact that we have since come back together in a deeper way... because I am more solid within myself.
I would try not to dwell on the details of the 'break'... just keep in touch occasionally (if possible), and let it take it's course. The hardest thing you can give to someone you love is freedom, but that would be the ultimate gift eh?
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To those who wander but who are not lost...
~ Knowledge is not something you acquire, it is something you open yourself to.
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