Started out with 5, now 4, going on 3

Just looked for the mold and I didn't see any on mine, but that's not to say what's on the inside either....I think I'm going to repot and do the S/H or Spagh. I just don't like what I'm seeing, but I'm afraid to do anything for I might send it to an early grave.
The roots look good and everything.(On the outside) It's just giving me attitude.