Quote:
Originally Posted by Sometimes psychotic
Just saw my pdoc----I asked her what my official diagnosis is she said I'm either bipolar I with psychotic features or sza bipolar type. I also asked her about pregnancy and she said it was such a high risk period that I would have to remain medicated and with each relapse without medicine I will have increased my chances of becoming treatment resistant. She also felt that latuda was only category B because it was so new that there weren't adequate tests done so I might as well stick with abilify although if I wanted to switch to tell her and we'd do it 4 months before trying to get pregnant. She also told me she's had patients who have had babies on abilify and they turned out fine but that again it was a limited data set. All in all I think its a good thing----I can just stay on the med I'm stable with and that's the best I can do. Also I told her if I'm bipolar I must have the lowest number of meds etc, she said that's another reason not to change anything.
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Do you agree with those diagnoses? I'm wondering in particular about you having had a manic episode? Perhaps I just forgot, sorry.
Pregnancy is tricky. It's not automatically 'high risk', although they certainly need to keep an eye on things. Many women find that the pregnancy hormones really level them out and they do the best they ever have. Some women get much worse. The rest stay the same. It's a coin toss is what I'm saying, not automatically going to be bad and require medication.
Personally I don't think APs are safe to foetal brain development. We don't really know exactly what they do to fully matured adult brains (as referenced in the 'brain damage' thread), so I would be really worried about what could happen to a developing foetal brain. Also, newborn babies go through rapid AP withdrawal. Anyone who has stopped their AP knows how unpleasant that is! I read recently about SSRIs possibly linked to autism, and people have been saying that SSRIs are mostly safe in pregnancy for years. We really don't know enough about the brain and the medication to know for sure.
Can you see a perinatal psychiatrist? We have some in the UK, although it's a postcode lottery as to whether your area has one. They would have the best knowledge and advice as it's what they do day in, day out.
I'm glad that things seem to be going so well for you. It is nice to hear
*Willow*