I found this website online looking for help and answers. My wife had PP in 2013 after the birth of our daughter. She spent 3 weeks in the hospital before coming home. She was not manic after that time but very depressed for several months. Outside of the hospital she only used lithium, which she tapered down after 6 months and dropped completely after 1 year. Thereafter she has had no signs or symptoms of mania/pp or depression. So we know it gets better.
Fast forward to this past August. After much deliberation we decided to get pregnant again and she gave birth to our son on August 10. Knowing the risk of reoccurrence of PP, she started lithium 2 days after delivering him. Unfortunately, about the same time I began to notice the first signs of agitation and over-energy and gradually over three weeks she developed full blown mania. She ended up spending only 6 days in this hospital this time as I think having the lithium in her system helped speed the recovery, and then was given several other drugs (Seroquel, Ativan) in the hospital to bring her back to earth. Since being released from the hospital she has tapered off everything but the lithium and has been doing well for about 6 weeks.
I took over 2 months off work and just returned last Wednesday. I know the stress of caring for 2 kids (one a 3 year old and one an infant) was source of stress for her. I and other family have been doing most of the overnight feedings and we have been protecting her sleep, which she is mostly getting.
Since going back to work, I've notice that my wife seems to exhibit some symptoms of hypomania. She's got elevated energy that doesn't seem to break at all through the day, though she is sleeping at night. She is very talkative. Talking almost non-stop and conversations with her often divert onto other tangents. Her sense of her self, self-esteem and beliefs about herself have become more inflated though I wouldn't call them delusional at this point.
Anyway, I'm very concerned about what I see as a setback in her recovery. WE didnt experience this last time so my frame of reference is different. Any thoughts or suggestions from the board?