‘I’M PREGNANT, WHAT NOW?’

Dr Joanne Black, chair of the perinatal faculty at the Royal College of Psychiatrists, answers some of the most common mental health questions from pregnant women and new mothers

Q | I’m pregnant and I’ve previously had mental health issues that I sought help for. What should I do?

Tell your GP and midwife your history, even if you’re not currently having treatment. If they feel you may benefit from additional support, they’ll recommend the right care. If you’ve had a severe mental illness, you’ll be referred to a perinatal mental health team, who will build a plan for your care throughout your pregnancy. They might help with a birth plan, advise on medication or enable quick access to conditionappropriate therapy. Q | I take antidepressants – can I keep taking them during pregnancy?

Most antidepressants are safe in the vast majority of pregnancies, but you should always speak to your GP if you take medication and you’re pregnant or planning a family. Remember, stopping abruptly isn’t recommended; it can cause withdrawal symptoms and make relapse more likely. Many women feel guilty about taking antidepressants in pregnancy or postnatally, but if you need to stay on medication to help maintain – or regain – good mental health, you’re doing what’s best for you and your baby. Q | I’ve recently had a baby and I’m struggling with my mental health. What should I do?

First, remember that perinatal mental illness can happen to anyone and it isn’t your fault. You should speak to your GP and health visitor (or midwife, if you’re still under their care) about how you’re feeling as soon as possible so they can advise you on getting help. Even if you’ve been struggling for a while, you can get better. Tell trusted family and friends so they can support you, too.