When was the last time you visited with your pdoc for a med check? It sounds like you might need an adjustment with your meds?
Also, with PTSD, usually, therapy is a great way to cope. Therapy helps combat the triggers that are associated with the PTSD. Writing in a journal will also help with the PTSD. It will help you understand what is causing the PTSD, and the blackouts. You wouldn't have to write tons, just a few lines every day enough to see what you are feeling and experiencing each day to follow your moods.
When a person suffers from anxiety, it is a very touchy situation, let alone, Bipolar Disorder. I too, have Social Anxiety Disorder/Agoraphobia. It is itself- a disaster at times and can be debiliating, not always; sometimes. Each day I take at a time, and that is how I live my life. A new day and let go of yesterday. It is gone. Don't worry about tomorrow- it isn't here yet. Just focus on today. Take each hour at a time..... and take each step one step of event you do of a daily task at a time. It will help you get through the day so the tasks aren't so daunting. It is a hard thing to do when you have anxiety problems, but it can be defeated. I still struggle, but a few years ago I wasn't able to leave the house without severe panic attacks, drive the car without emotional distress and severe nausea- or ride in it, etc let alone- go to a grocery store without freaking out. Now I am a lot better- still now and then will have a problem, but nothing like I did.
During that time frame, I didn't want my DH to touch me as well. It was strange. I loved him dearly- didn't want him to come near me. Didn't want anyone to come near me! Then I turned manic. It was a nightmare. So, beware. You could possibly be turning into some hypomanic symptoms if you aren't careful- which is why it would be a good idea to contact your pdoc. They would be in the best position to determine what is the best way to treat you right now, and what is going on with you at the current time. The more honest you are with them with everything, the more helpful it will be to diagnosis the situation.
Sometimes things get tougher after having a family. That was when things became more difficult for me with my illness. It has to do with the stress level. Think about before you had your children. Things were much easier- less stress, responsibility, and more free time and lots more sleep! Don't you wish you could bottle some of that sleep back up!
Well, you take care now. I hope this post finds you feeling a little better. Not sure what time it is on your end of the ocean. Where I'm at it is lunch time.