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I've been taking antidepressants for two years. If I want to get pregnant, do I have to stop taking the medication?

Laia Villalta Macià
Laia Villalta Macià
Child and adolescent psychiatrist. Unit 0-5
Hospital Sant Joan de Déu Barcelona

Several antidepressants can be taken during pregnancy and have been shown to be safe for both mother and baby. Many women take antidepressants during pregnancy and while breastfeeding, achieving good control of their emotional symptoms and supporting healthy development for their baby. For the physical and mental well-being of both mother and baby, it is important that anxiety and depression symptoms are well managed. In some cases, this stability can be achieved through psychological therapy, while in others, medication with antidepressants will be necessary.

The most important thing is to develop a treatment plan with your psychiatrist as soon as you start trying to conceive. This will allow you to determine if the antidepressant you're taking is safe during pregnancy, if it needs to be discontinued, changed to another medication, or if psychological treatment should be added for better symptom management. If your antidepressant is prescribed by a primary care physician or general practitioner, you should request a referral to a psychiatrist for specialized follow-up during the perinatal period.

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Carla Jané Balsebre
Carla Jané Balsebre
Lead psychologist for the perinatal mental health program at the CSMA in Cornellà
Parc Sanitari Sant Joan de Déu
Laia Villalta Macià
Laia Villalta Macià
Child and adolescent psychiatrist. Unit 0-5
Hospital Sant Joan de Déu Barcelona