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Freddie deBoer's avatar

Phoebe is a guest columnist here; that means she is a guest, here in my place. So treat her like one. Criticize if you'd like, but do it respectfully.

Carina's avatar

Thank you for sharing this. I’m glad you found an antidepressant that helps and that you’re seeking a more effective dose.

I hope anyone with similar experiences or concerns will consider seeing a reproductive psychiatrist. Regular doctors and psychiatrists often don’t know what they’re doing when it comes to pregnancy.

For years, doctors told women to go off their psych meds for pregnancy and breastfeeding. The guidance was to suck it up for 9 months because medication might harm the baby.

Now we know this is wrong. There are many psych meds that carry minimal risk to the baby, and going off meds is often a terrible idea for the mother AND the baby. Unhealthy choices aren’t good for the baby. High stress hormones aren’t good for the baby. It’s a myth that suffering for 9 months is the best thing you can do for your child.

I tell everyone, if your doctor says to stop taking your psych meds for pregnancy, see a reproductive psychiatrist. They will tell you the latest research on every medication and explore alternatives if necessary, but they won’t just say “stop everything.”

My original psychiatrist told me to go off *Zoloft.* One of the safest psych meds for pregnancy. Fortunately, my spouse is a psychiatrist so she told me “Yeah that’s wrong. See a reproductive psychiatrist.” And it made a huge difference for me. I kept my anxiety under control throughout pregnancy and the stressful newborn months (when I was terrified of SIDS).

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