I’m writing as the husband who’s wife is currently experiencing her second PPP episode following the birth of our second son. She is currently in an acute psychiatric unit after being moved from and mother and baby unit after deteriorating.
After the birth of our first son she took olanzapine and started to recover from her acute phase after a couple of weeks. This time she has had olanzapine titrated up to 20mg per day but showing no signs of recovery. She has been on it for 3 weeks now.
I am so scared as the medication isn’t working and the benzodiazepines are not really calming her much. She is I a near constant state of mania and distress .
Can I ask if anyone else has experienced olanzapine resistance in a second or subsequent episode? The doctors have talked about ECT but as her next of kin am so scared of allowing this and it damaging my wife.