I still maintain if you want this, you have to go for it. You will have to risk the friendship.
The key things you need to do is add sexual charge to your interaction.
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I often wonder if she'd be overlooking me if I hadn't become disabled
Stop thinking of What if's. It will fuck you up. You cannot change what happened, you can only change how you deal with it.
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I guess that is where the feeling of not being good enough comes in
you have to start believing you are. Write a list of all the reason you are amazing and why she would be lucky to have you. Ever time you feel your not good enough, look at that list and think "dude, I wish I could date myself I am so awesome".
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It makes PU more difficult
So does being ugly, poor, dumb, fat etc etc. Nobody is perfect, there is always a way around.
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it makes life more difficult and it would also make HER life more difficult to be with me
This the big thing to work around. You dont want her to look at you and think "i need to help him" or "he needs my help". Appearing dependant is something you really really don't want, be that emotionally or physically. Unfortunately people WILL assume things about you being in a wheelchair, their assumptions can be easily changed at first but if you let them reinforce them then they will be stuck in that thought process. Do you play any sports or do active things etc etc?
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I'm sure the sexual aspect has driven some girls away.
Again, stop thinking it would drive them away. Your convincing yourself it wont work before it has started! I honestly cannot tell you how to work this round since I haven't been in this situation. Ideally, you should consider looking for a forum for people who are in a similar position (i am guessing paralysis from what you have described) and ask what they do in these specific situations.
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Oh, and na, I don't think I'll jump off a cliff if I don't get her but it's very rare to find a woman that you're this compatable with on so many levels...
It might be very rare, but unfortunately the only way you will get a LTR here is to get out of the friends category and start over. Its a risk.
Madals