As my last ultrasound gets further away, I get progressively more anxious. As I mentioned, my OB told me I could come in whenever I needed/wanted to, but even that makes me anxious. I've felt nervous about even calling to talk to the admin staff about making an appointment.
Yesterday, I had my consult with the psychopharmacologist, Dr. F. It lasted almost an hour and a half! I really liked her- she was clearly very knowledgeable and experienced. The practice she works in is also very collaborative and keeps up with all the studies around psych meds and pregnancy.
I know that many people don't think a woman should take any meds, and especially psych meds, when pregnant. If you are one of those people, then I respect that choice for YOU. However, I have no doubt that my level of anxiety and it's accompanying physical symptoms are bad for my baby. This is something I was strongly aware of just on my own, and its why I asked my OB about it. Both she and this Dr. F confirmed that. Dr. F also discussed with me the possibility of more severe anxiety after the baby is born.
Dr. F felt that I should continue with my prozac, and that down the line we may even want to increase it. She also gave me a prescription for klonopin, to take when I am having acute anxiety or in the middle of a panic attack. She took quite a bit of time covering all of the studies around pregnancy and the potential effects of each of these drugs on a baby, as well as studies about the pre and post natal effects of untreated anxiety and depression on babies. She prepared me for comments I might hear from people, even nurses and other medical professionals, who do not know the specifics of my situation and/or as much about the studies around these meds.
I am relieved to have something to help me. The thought of the ongoing anxiety and imminent panic attacks made me even more anxious than I already was. I hope that not only will her suggestions help me, but that as I get further in my pregnancy that my anxiety will decrease.