My wife has dealt with depression since her late teens. We all watched very closely after our two were born for post-partum and she is just now coming out of a depression that has lasted since probably September. Thank God for her psychiatrist. He has been a real blessing to her (she found him before she met me) and to me. We switched meds about 6 weeks ago, and she is doing a lot better.
I've noticed with her that she seems to do so much better earlier on, and then she hits a "plateau" before she gets any better. She describes it as coming out of her cave and being more aware of things around her, and then becoming overwhelmed at the mess that has been created while she has been "down and out" and all of the things she needs to sort out in the aftermath. That overwhelming feeling is more of a psychological rather than chemical/physical issue. She (and her doctor) would ascribe the increase in suicide to that period, when people may just feel so overwhelmed that they decide to commit suicide rather than deal with it all.
It's a tough thing on both of us sometimes, but I love her dearly, and knew about her struggles before we married. It's an illness, and not her fault. I actually admire what a tough bird she is to get through it all even though she would like to just give up.
If ANY of you brothers out there ever need to talk, I'm here for ya'.
Greg
thecolson4 at aol dot com