My wife and I have also lived a near parallel life like ones described in these posts for the past 4 decades. The 5% variations are natural because PPD research is nearly impossible without volunteers. I DID NOT 100% BELIEVE THE INTERNET AND DISMISSED MY WIFE’S EPISODES! We had two young daughters to think about. So I dismissed PPD like most of you in disbelief and denial. PPD episodes continued but I kept them on a back burner thinking time shall heal all.
The site stumbled upon by MrPibb this description of PPD, does match nearly all of the PPD criteria shown by my wife. In addition, here are other symptoms & behaviors exhibited by my wife:
1) Checks and edits my emails to close family friends or relatives including any external help.
2) Times my every move to ensure extra time not spent doing something to hurt her “reputation”.
3) Spurns every move to get close to her – then gets annoyed if I don’t make any moves.
4) Expects me to read her mind when a slight hint is given about a movie, restaurant, shop, etc.
a) Usually makes the above hints when walking away from me or when I am distracted by something else like watching a particular dramatic scene on a given TV channel.
b) All hell breaks loose since I ignored her even though I cannot hear clearly when someone is behind me.
5) Claims items are being stolen by hired help when in fact they are misplaced and found later on either in a short time or days later.
6) Attacks my parents (both deceased some 25+ years ago) for my poor upbringing and being just like my family members in turning the whole world against her especially our daughters.
a) The incidents cited have nothing to do with what is troubling her currently. Just a weapon of attack due to the perceived slight felt before her irrational explosions.
b) She never has any proof of any phone calls, emails, texts, etc. – just her unquestionable convictions alone (like body language or phrases taken out of context) that I must be colluding with living family members in some sly manner.
c) Her parents and family members are always above reproach even if logically used to point out imperfections like any other family known to us.
i) Hence, I try not to comment on her family at all.
ii) But even this is taken out of context since I am favoring that particular family member and not her.
Damned if you do, damned if you do not.7) Absolutely refuses any kind of therapy or counseling by any 3rd party. Claims I am the one who needs the help and not her.

Argues on and on about same topic or issue even it has been settled. This only gets me more emotionally riled leading to:
a) Please don’t scream when I react to her own loud and deeply insulting remarks.
b) Closes all windows and doors as if the neighbors are always ready 24/7 waiting to eavesdrop.
c) Eventually crying and making me feel guilty to apologize for reactions to her accusations that took place since we were married some 40+ years ago. How can one defend oneself when neither of us can clearly remember what took place last month?
i) Needless to add that these past issues in dispute are completely separate and distinct from our current context. Most of them are simply distorted to prove her distrust in people at large.
ii) Classic PPD symptom – jump from one topic to another to prolong the current issue. Always her memory is 100% perfect – I am always the one who forgets conveniently.
iii) If I were to defend these innocent people in a sane logical manner, then I am AGAINST her.
d) After a few hours, we simply stay quiet, do something else, or change the topic as if nothing is wrong. This works!
Some reassurances, empathy, or rational logic has worked but only for a few weeks at a time. The PPD has only gotten worse. I am constantly walking on eggshells since any casual phrase or look can set off a PPD episode every week or so. My own personal actual details vary from the blogs read but the symptoms and conclusions are remarkably consistent.
I have researched several PPD sites on and off since 1995. However, I did not respond due to guilt, shame, and the fact that she is on the internet practically all day. I was afraid that she would eventually find this post proving her points during PPD episodes. Why risk it now? – PPD discussions can only help both of us and what more do I have to lose!
Hence what MrPibb wrote hit close to my predicament as well:
“I have learned that I cannot argue or reason my way out of these absurd accusations. I try to refute them without getting angry (which is hard), but it doesn't help. Yelling doesn't help. Calmly, rationally explaining things doesn't help. Trying to joke/laugh it off doesn't help. In her mind, I am guilty. Her conjured evidence is beyond dispute.”
Eventually I too discovered what Rapparee concluded:
Since a year I don't negotiate with my wife's paranoia, eg mention an alternative reason for this or that or even say "I'm sorry you think like that but I didn't do it"
I don't take her accusations personally and I respond very firmly with a denial.
Eg "Don't give negativity to our boy" "respect me as a father"
then full stop --- don't discuss the issue at all (no explanation is needed) and move on as normal. Would you like a cup of tea'? what's the weather forecast? Im going to cook the dinner now, etc And while you maintain this attitude, keep asking her to participate in your life.
EG. I'm taking the dog out would you like to come ? I'm going for cycle would you..?
Would you like to do join me in doing .......?
You firmly deny the paranoia, but at the same time show the desire for her company that you once had. You don't reject her, just reject outright those expressions of her paranoia, and don't discuss them.
She will relapse because that's what she does, but you keep constant.
Every story is very heart breaking - I do empathize with all of you and other sites on the internet! In a strange way, these posts do give me some hope and relief. Divorce does not make the PPD go away! My wife shall still suffer.
My wife is extremely lovable when not consumed by PPD. Admittedly, the mental anguish on both sides is extremely unbearable as documented by you. In light of the prognosis:
Paranoid personality disorder is often a chronic, lifelong condition; the long-term prognosis is usually not encouraging – what can the spouse or loved ones do to live with PPD until death does us apart? Therapy and medications only work if the PPD spouse faces the problem head on and the other is there for support. Needless to say, the effort required is very emotionally draining as all of you have experienced.
Staying married gives us both a straw to hang on to – at least take care of each other physically even if the mental state “is lost” at times! Most of the time the PPD episodes fade when left alone but can occur at any time as evidenced and documented in PPD posts. Based on our cultures and upbringing, I am a 100% sure that my wife would do the same for me if the shoes were reversed – either physically or mentally.
Finally even though I come across as negative about my wife and our situation,
I certainly am never intentionally negative about my wife. Any negativity is directed at the illness and my own inability to deal with it by reacting in anger. I have been trying to understand that this illness is separate from my otherwise very caring wife. While it is sometimes easy to lose sight of the PPD illness factor, she is totally worth the effort it takes to support her and keep our family together.
The quote from Kierra (Mind disorders forum) touches me deeply and encapsulates the PPD affliction perfectly:
Mental/Personality disorders are very difficult though, they are called "personality" disorders because they have become part of how a person interprets and behaves in the world. The hardest things to ever change are ourselves, we only have our own reasoning, and when our reasoning has become damaging to us, how can we even know if we don't even have a clear lens to see ourselves through?
I wish I had a real solution but sharing sometimes eases the pain and frustration felt by ALL alike in dealing with PPD. I sincerely hope we all find some degree of peace and relief from PPD via these collective posts.