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Depression and anxiety
Hello doc, i am suffering from depression and anxiety from past 2 months, but recently came to know I am pregnant (few weeks) , currently I am in USA, my primary doctor prescribed me sertaraline 25mg saying it's safe during pregnancy.
But I am still worried, will it effect my baby any way before and after birth, please suggest.
Answers (9)
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Hello Dear, Mental health problems can arise due to multiple factors in personal, professional and social life. A wide range of treatment options are available including but not limited to therapy, medicines, exercises and experimental. There also exists few side effects with all treatment options, particularly medicines which are usually not life threatening and easily treatable.
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Book Appointment with Dr Parag Sharma for speedy recovery
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I am not really, but then again if you’re having mild to moderate stress depression, you should definitely go for therapy and counselling more than medicines. I’ll be really happy to help you assist you. Guide you during your journey. Feel free to contact me all the best.
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Hi
You can undergo counseling and psychothetapy which are non medicine approaches
Next Steps
psychotherapy:
1. focusing on positive feelings
2. increase flow experiences
3. increase I statements, avoid blaming
4. practice self compassion, focus on your significant strengths , increase positive self talk
5. color and relax
6. be kind to own self,
7. work on contingent self worth and increase unconditional acceptance of anything
Health Tips
consult
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Hello. I understand, what you’re going through, and your concerns are very genuine. Your doc must have given you the meds based on the psych-eval they did.
Understand one thing, the dose you have been prescribed is very low and usually considered safe. If your emotional symptoms are under control with that dosage then your shrink might not consider uptitration.
Next Steps
In that case supportive environment, psychoeducation of your partner/ family members is extremely important. A positive and nurturing ambience can really help you stay more grounded .
Health Tips
Consider simultaneously talking to a therapist. Take care
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Hi..any tablet you take during pregnancy also passes on to the baby. Hence doctors prescribe medicines with caution. Always risks vs benefits of the medicines are seen while prescribing. However having depression during pregnancy raises risks for babies, including Premature birth, low birth weight., less growth in the womb. Your doctor might have prescribed the medicines after considering all the above factors. A small percentage of infants can have withdrawl effects. Its better to have periodic scans. Also Cognitive Behaviour Therapy is used as first line treatment during pregnancy.
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Yes, sertraline is generally considered safe to take during pregnancy.Most studies have not found an increased risk of birth defects when taking sertraline during pregnancy. The background risk of birth defects is 3-5%. Some studies suggest that sertraline might occasionally affect a baby's heart development, but the risk is small. Taking sertraline in the last month of pregnancy may slightly increase the risk of bleeding after delivery, but this side effect is rare and can be treated.
Next Steps
Consider therapeutic drug monitoring to ensure the safety of you and your baby.Eat a healthy balanced diet.Drink enough water to avoid dehydration.
Exercise regularly.
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