Dear Dr. Shosh, I've been on anti-depressants for many years and am worried about having to come off them to have a baby. Is anything safe when you're pregnant? Are there other techniques that can help me? Whose Needs Should Come First: Mine Or My Kids'?

In this video, hypnotherapist, psychologist and YourTango Expert Dr. Shoshana Bennett addresses the complicated issue of how to manage your depression during pregnancy.

"For each woman and couple, it's important to think about the treatment options [for depression], ideally before you get pregnant," says Dr. Shosh, adding, "Depression in pregnancy can hurt everyone, including the baby, so treatment of some kind is essential." She suggests working with a psychiatrist who has the specialized clinical expertise you need.

Want more advice? Check out the video above.

TRANSCRIPT:

Hi I’m Dr. Shoshan Bennett with Ask an Expert answering your love and relationship questions.  Today’s question is: Dear Dr. Shosh, I’ve been on anti-depressants for many years an am worried about having to come off them to have a baby.  Is anything safe when you’re pregnant?  Are there other techniques that can help me?

Yes, and good for you for inquiring.  For each woman and couple it’s important to think about the treatment options ideally before you get pregnant.  Depression in pregnancy can hurt everyone, including the baby.  So treatment of some kind is essential. You want to work with a psychiatrist with a specialized clinical expertise that you need at this time.  So it may or may not be the same psychiatrist you've been working with.  Many women stay on their medication since that’s what’s best for them and others are advised to wean off or switch to a different one depending on the type of medication they’re taking.  “Pregnant on Prozac” is a book that details what’s known to date regarding the safety of psychotropic medication during pregnancy as well as the natural alternative treatments.  And by the way, don’t ever drop cold turkey off your medication if you suddenly find yourself pregnant.  No changes should be made before speaking to your psychiatrist, and often, no changes are required. 

Connect with me at YourTango.com/Experts/DrShosh.

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