If moderate to severe depressive symptoms, delay conceiving, continue and optimize meds until stable
If in early remission (started AD less than 6 months ago), delay conceiving, continue meds until stable
If in full remission, but history of both recurrence and non-response to psychotherapy, continue meds through pregnancy
If in full remission, no recurrent depression and/or positive prior response to therapy, taper off medication and refer for therapy
Pregnant, depressed, taking ADs
If depression is severe, continue and optimize meds
If depression is not severe:
If pt has either responded to therapy before or has never had therapy, start therapy either in combination with meds or (if symptoms are relatively mild) with a med taper
If pt has failed therapy, continue meds
Pregnant, depressed, not taking ADs
If depression is severe, start meds
If depression is not severe:
If pt has never failed a course of therapy, do therapy
1 in 3 Americans were victims of online scams in the past year. Even when you know your patient is being scammed, it is hard to pull them out. We speak with Cathy Wilson about...
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