David Cameron's wife Samantha has told how the couple's struggle to cope with their disabled son brought them to "breaking point".
Mrs Cameron said the couple were physically and mentally "shattered" by the strain of looking after Ivan - who died aged six in 2009.
She spoke of their struggle during an interview with the Mail On Sunday's You magazine, where she also made the case for voters sending her husband back to Number 10.
Mrs Cameron revealed that the couple's Christian faith had helped them cope with their son's illness and death.
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She said Ivan, who had cerebral palsy and suffered from severe epileptic fits, had made their love stronger and brought them immense joy.
"There's lots of people in our situation whose marriages don't survive," she told the magazine.
"Looking after a disabled child pushes you to the limits of what you can cope with physically, emotionally.
"By the end of the first year we were totally shattered and pretty much at breaking point.
"The doctors realised we needed help. But as parents you have this feeling that you shouldn't ask for help.
"We could have been angry with God, but we felt he'd given Ivan to us to look after, and we had to do the best job that we could.
"He was very beautiful, one of the great gifts in our lives."
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Making a case for giving her husband another five years in Downing Street, she said the PM's biggest fear was "letting people down".
She suggested he was the best man for the job of running the country because he was "even-tempered, clear-headed, and not scared of making hard decisions".
The interview is the latest in a series of interventions by the spouses of party leaders in the run-up to the election.
Mrs Cameron also gave an insight into some more unusual aspects of life as the UK's "first lady".
These included being forced to leave dinner with Angela Merkel to break up a "huge pillow and duvet fight" between her children at the German chancellor's country residence.
The Prime Minister, in a separate interview with the Sunday Times, put the couple's ability not to fall apart entirely down to his wife's fortitude.
He said his marriage was "easily the best thing that's happened in my life" and said he loved his wife "as much today as when I first met her; more, much more".
He added: "I'm very blessed to have her. She is amazing."
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