Hello I believe I can help you with your concern for your wife
I understand your concern and you are right some of the symptoms you have described can be associated with hypomania and a diagnosis of Bipolar Disorder at 29 years old is not uncommon, but I do not see a Bipolar Disorder from the symptoms you have been telling me
The reason I do not see it is because you have not mentioned any type of depressive symptoms, like crying spells, loss of motivation, hopelessness, etc...You have only described anxiety, which can be associated with depression (anxiety and depression are often comorbid disorders).
Now there are some possibilities for her behavior, one is that the counselling and discontinuing the birth control pills have made her very happy and full of energy because she is so happy, which is why she is exercising, only sleeping 5-6 hours, etc...
The other possibility is that she has a condition called Unipolar Hypomania. This condition is still being researched and it basically like Bipoalr Disorder II, except the individual fluctuates between a normal and Hypomanic state without any depressive disorder being present. Some researchers feel that Unipolar Hypomania is more prevalent in society than originally thought, but most people do not seek medical advice for these symptoms because they are mostly feeling good and full of energy, so they do not see a medical problem with their behavior.
Many individuals with Unipolar Hypomania can be thought of as successful in social situations and high achievers, so most researchers do not feel as if this condition should be treated because the individuals are so high functioning. Now if your wife displays more manic behaviors like pressured speech, irritable mood, racing thoughts, irresponsibility, and impulsivity, then I think she should seek medical and psychological advice and may be asked to take a mood stabilizer to regulate her behavior. But at this point I do not think you have anything to worry about since she has mostly showed certain hypomanic behaviors, with no signs of a depressive disorder.
I see that you are offline right now, but if you have any questions, concerns, or would like to discuss this more, you are more than welcome to reply in the chat box at anytime and I will be sure to get back to you as promptly as I can.
Thank you for the reassurance. There has been no major depression I would say, but along with her anxiety, she has had few days a month where she is more down and irritable. She never got to a point where she couldn't get out of bed, or anything, but no crying spells either besides normal wife stuff I suppose. She did a great job raising our daughter, and we have had some fun times together.
Although she has been very stubborn for seeking therapy and medication for her anxiety until few months ago.Thank you for your reassurance. if there is antyhign else you can let me know, with the added information, please let me know.