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ADHD Medication and Pregnancy Psychiatrists often encounter women who are trying to conceive or are expecting and worried about the impact of their ADHD medication on the baby. There is good news: Research suggests that, overall it is safe to continue taking stimulant drugs during pregnancy. The results are based on naturalistic studies with a large number of exposures to the first trimester. Pregnancy Pregnancy and a new baby are exciting times for women, however some can worry about the effects of their ADHD medication on their unborn child. The stimulant medications are known to have negative teratogenic effects. Some doctors recommend patients to stop taking their medication while trying to conceive or in the first trimester of pregnancy. However, many people with ADHD require the advantages of their medication to be able to function in their daily lives and may have difficulty without it during this time. A recent study in Denmark discovered that the first trimester exposure to methylphenidate (in the form of a redeemed prescription) does not seem to increase the risk of major malformations as compared to a control group without prescriptions redeemed during the first trimester of pregnancy. The study used registry-based data from several Danish databases to identify pregnant women and their medical history before and during pregnancy, including information about whether the woman was being treated for ADHD. The researchers tracked 898 babies born to mothers exposed to methylphenidate or other stimulants in the first trimester of pregnancy. They were compared with 1,270 babies who were part of the control group and did not receive methylphenidate, or any other stimulant medication in the first three months of pregnancy. Both groups of babies underwent a comprehensive assessment for abnormalities in the fetal heart like gastroschisis and omphalocele. The results revealed that infants of women exposed to methylphenidate during pregnancy did not have higher rates of any of these conditions compared to the subjects. This was true both for the first and second trimesters. This is a promising finding that can be comforting to women who are pregnant and taking ADHD medication and may require or want to continue their treatment during pregnancy. It is important to understand that this study did not assess the impact of other medications or lifestyle changes on a fetus and other studies have revealed an correlation between the use of stimulant medications and adverse outcomes during pregnancy, for example having a caesarean delivery or the baby needing assistance to breathe at birth. Breastfeeding Many women who have ADD or ADHD discover that breastfeeding is beneficial for their baby, even when they need to take medication to manage their symptoms. The mother and baby must be well-nourished. Therefore the decision to breastfeed or take ADHD medications should be made with the assistance of a medical professional. According to the most current guidelines and research1, a woman doesn't need to stop breastfeeding to take her prescribed medication. In fact, multiple studies have demonstrated that the long-term neurodevelopmental effects for the infant are minimal if the mother takes her ADHD medication as prescribed. Stimulants, such as dexamfetamine and methylphenidate are frequently used to treat ADHD. They are available in two forms: immediate-release, that lasts for up to four hours; and extended-release, which is taken once daily in the morning and can last for up to 16 hours. Many people who have ADD or ADHD find that the most effective way to combat their symptoms is to take an extended-release medication with an immediate-release pill in the evening or in the afternoon. Certain medications are not compatible with breastfeeding, for example, Clonidine, which decreases prolactin levels and lowers milk production. Some people with ADD and ADHD do not want to stop nursing for this reason, and so they choose to switch to a different stimulant. These medications have lower RIDs and are more likely to be covered by the Pharmaceutical Benefits Scheme. It is essential to talk with an GP or specialist if you are considering changing your medication during your pregnancy, breastfeeding or postpartum. They can give you information on the most secure medication and how to track the growth of your infant and its weight. They can also refer you to psychologists or psychiatrists to provide additional assistance. They may also refer you to dietitians for assistance in managing diet and nutrition. Postpartum During pregnancy, women go through immense physical, hormonal and emotional changes. The transition to motherhood can be a time of tremendous joy, excitement and affection, but also anger and anxiety for some women. This is normal and it's crucial to seek assistance from family members or her doctor and/or mental health experts if the mother is struggling. It's exciting to have a child, but it can also be overwhelming but a new mother should not feel like she must do it all by herself. Finding the right balance isn't easy however, you can assist yourself by taking the time to rest and sleep well. It is also important to schedule your postpartum checkups, as they will be able to identify any potential issues early on. The “baby blues” is a term used to describe a brief period in which some women feel depressed or anxious after the birth of their baby. This is a normal occurrence that usually goes away on its own in around a week. Some people experience feelings that are more intense and last for longer. adhd without medication is known as postpartum depressive disorder and is a treatable condition. If a woman has suffered from anxiety or depression in the past, she is more likely to suffer from the condition again after giving birth. In some cases, a woman can develop postpartum psychosis, which can be extremely dangerous for both the mother and the child. This is a psychiatric issue that needs to be addressed as soon as is possible. Treatment may include an amalgamation of medication and therapy. A therapist who has experience with this condition can be extremely helpful. If the symptoms are severe, electroconvulsive therapy (ECT) might be suggested. In the case of a mother who is having an episode of postpartum psychosis, the doctor will probably prescribe an antipsychotic medication like lithium or valproate, and an antidepressant such as citalopram. They might also suggest cognitive behavioral therapy to address the root cause of the problem. Tricyclic antidepressants such as nortriptyline or imipramine are often used but they can have challenging side effects and so are typically only prescribed when other medications haven't worked. Adolescence Adolescence is an important time for physical, cognitive and psychosocial growth. Adolescence is a time of rapid growth in terms of cognitive, physical and psychosocial development. Adolescents develop an interest in expanding their social circle from only their family members to include peers, friends and acquaintances with whom they may spend a significant amount of time at school or participating in other activities. Their social networks could comprise members of student groups as well as team sports or jobs. In adolescence, the biological changes in brain structure and connectivity are interacted with a growing amount of knowledge, experience and the changing demands of society to create rapid cognitive growth. This includes improvements in selective and divided focus (the ability to focus on multiple stimuli simultaneously), working memory, and long-term memory. Furthermore, the ability of adolescents of thinking abstractly and morally also improves. These cognitive changes are often accompanied by hormonal changes that make teenagers more attracted to exciting and new experiences. The hormones in their bodies also trigger them to seek out experiences that will elevate their status in the eyes of others. This urge to explore new experiences can be used positively for instance, by taking part in a school play. It is also possible to take healthy risks for example, like exploring sexual activities or other risk-taking behaviors in the event that they are in a safe and secure environment. Different rates of physical development may lead to awkward stages of appearance in adolescence and also feelings of self-consciousness and anxiety about the changes in their bodies. In some cultures, like those of Aboriginal or Torres Strait Islander, adolescence can be a period when young people discover their place within their clans, their families and their countries and their ancestors as well as their country. Teens' relationships with friends can be a source of support or conflict during this time. The quality of these relationships is vital for the health of adolescents and is an important element in their happiness and wellbeing. Relationships between adolescents and their parents can be a great source of support for them, especially when they can solve problems in a non-confrontational fashion.