Katherine Stone, 38, of Atlanta, elected to stay on her medication between pregnancies.
When to consider preventive antidepressants
Postpartum depression can happen the second time around, even if great care is taken to prevent it. Amy Sky, 47, of Toronto, recalls that her second pregnancy, like her first, was fairly easy: She had a supportive husband and family, she hired full-time help in the house, and her career as a songwriter was in full bloom.
The risks and benefits of meds
Psychiatrists who specialize in the treatment of postpartum psychiatric disorders generally agree that, for patients at the highest risk of depression, the benefits of antidepressants tend to outweigh the risks during pregnancy and after. This is true for both SSRI antidepressants as well as older tricyclic antidepressants, though the decision to medicate should always be made carefully, in consultation with one or more medical experts.