New Recommendations for Treating Depression During Pregnancy

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Findings from a study reported recently online in General Hospital Psychiatry suggest that treatment of depression among pregnant women needs to be highly tailored both to the patient’s preferences as well as to their symptoms of depression. In general, the study concluded that pregnant women who would be appropriate candidates for the use of antidepressants should either have been individuals who have not responded adequately to monotherapy, individuals who have severe symptoms and relapse after abruptly after discontinuing medication, as well as individuals who have an ongoing history of severe psychiatric illness. However, with this said, the study underscores the importance of physicians considering the possibility of decreasing dosage of antidepressants to the point of discontinuation and increasing the use of psychotherapy in a closely monitored environment for the safety of the unborn child. “Respect for the patient’s preferences is paramount since she will likely have a sense of her ability to manage a pregnancy off medication,” Kimberly A. Yonkers, MD, of the Yale School of Medicine, and colleagues relayed. Click here to read an article from Web MD that discusses this study more.

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