Our expert says:
Hello again S !
Well, Efexor isn't unique in this ( and I'm pleased that it has seemed to suit you so well ) as most antidepressants are also very useful in managing GAD and anxiety problems. One of the many reasons I like CBT ( Cognitive-Behaviour Therapy ) for anxiety and for depression is that apart from the excellent evidence that it works and has lasting benefits, it has no side-effects, and is utterly safe in pregnancy ! So I like at least adding it to medication when these conditions are chronic.
The issue of using ADs in pregnancy is complex. There are some risks involved in using them during pregnancy, varying somewhat betwee them, and with the stage of pregnancy at which they are taken ; but then if there is a significant risk of a recurence of severe Depression, for instance, well, that also has some risks for the pregnancy.
So it's good for you to get a second opinion, to weigh the different possible risks and select the best course of action. Maybe a different medication would help ; maybe it would be safe for you to gradually come of your AD for the duration of the pregnancy. Starting formal CBT with a good local therapist might be wise, to give you the power to control those anxiety symptoms you dread, and lose the anxiety about anxiety, too.
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