I contact you today as the husband of a wife who has/had postpartum psychosis. We had our beautiful baby boy on 7th March and soon after, my wife was diagnosed with this condition. 3 days after the birth, she started to experience the worst of her symptoms: delusions, hallucinations, hypersensitivity, restlessness, paranoia etc. She spent around 3 months in a mother and baby unit with interim releases. She only took olanzapine throughout her treatment (anxiety medication and sleep medication was offered but she was able to fight off taking anything else).
Through a course of olanzapine and support from myself and one other family member, we were able to nurse her back to a somewhat 'normal' state (she was still anxious and confused about things, and sometimes had mood swings). It is now 10 months after the initial onset and she seemed to be fine and stable, dare i say even back to normal. she stopped taking her olanzapine around 7 weeks ago.
We recently spoke about her experiences again and she shared that what she had experienced months ago was a lot worse than she initially let on and that she hadnt told anyone. she did tell me some additional things which opened my eyes as to the true extent of it. Not thinking anything of the conversation, we both continued as normal. An hour later, and she seems like she is back in the suspicious state she was in months ago. This happened last night and she hasnt changed much overnight. Today she has been trying to provoke me by teasing us splitting up, accusing me of hurting our boy, suspiciousness over my mother (suspicion over her MIL was one of the original issues as well) and some more.
I know she is not normal but what can I do to help? We are supposed to have our 'last' review tomorrow with the perinatal team and I will bring this up with them. As it stands, I think its too early to release her from their care even though progress was so good for so long. Almost seems like a relapse. I would greatly appreciate any help or advice!