Anecdotally, I am aware of several cases in which a woman has had a medical procedure, such as a hysterectomy or a cesarean section, and experienced a psychotic episode very soon thereafter. It is as though the medical procedure triggered the psychological event. Another possible explanation is that the medical procedure was psychologically traumatizing, thus triggering the psychotic episode. Unfortunately, those theories are virtually impossible to test.
You may never know why your wife has developed her symptoms but what’s most important is that she receives the best possible treatment. She has been in the hospital and fortunately has likely been evaluated by a psychiatrist and members of his or her treatment team. Speak to them about the best way to treat her symptoms. They will likely suggest medication. Medication only works if the patient is willing to take it. Upon her discharge, it will be important for you to ensure that she takes her prescribed medication. The medication can reduce or eliminate her symptoms.
Also inquire about other types of treatment. Speak to the hospital social worker to review the possibilities. Therapy may be an option.
Make sure the hospital staff develops a comprehensive discharge plan that involves followup appointments with community or private mental health agencies. Other important factors involved in helping your wife recover and remain stable should include decreasing stress and having a supportive network of friends and family. Stress can trigger psychological events and therefore it is important that she feels calm and relaxed. Having a supportive network of friends and family can have a buffering effect in that it can reduce the likelihood of future psychological events.
You would also benefit from having support. Connect with your local National Alliance of Mental Illness (NAMI) support groups either online or in person.
I hope that you are able to “get your wife back.” I wish you the best. Please take care.