Like a few others, I'm a bit hung up on the word "achieve". I dress for the mirror, and try to be as pretty and glamorous as possible, realizing, of course, that pretty and glamorous are measured by me and is whatever my eyes and brain say it is.
As a pleasure dresser, I usually dress to "achieve" pleasure, again as I define it. I have been out, and in the past I have toned down my look, away from the over-the-top-ness I prefer to "achieve" passability. Not my cup of tea, though, as I prefer glam to pass.
No, I don't think my wife would give me the pill. She knows all about my drressing (how, when, why, etc) and isn't threatened by it. I think she actually is glad that I have a stay-at-home hobby.