I'd just like to echo how great it is that you're so supportive! I know anxiety is often a symptom of POTS, and when you describe your wife not wanting to leave the house, I wonder if part of that might be anxiety related? If so, perhaps an anti-anxiety med thrown into the mix might help. Although it's a slow process, I've found that it's important to try one new thing at a time, so you know what's working and what isn't. Sometimes the temptation is to make too many changes too quickly because one is desperate for relief -- but this isn't the best thing for your body, and it makes it hard to know which medications, etc, are effective and which aren't. I find supplements help a lot - I felt significantly better when I started taking magnesium and B-complex. Both are vital to nerve health, so it kind of makes sense. I'm going to start seeing a homeopath in a few weeks -- if your wife doesn't feel better with conventional medicine, it might be something to try, although with the aide and consent of her doctor, of course. Hope things improve for you and your wife, Jump