Anxiety disorders are common in women, both before and during pregnancy. Some women have anxiety disorders prior to becoming pregnant and others may experience symptoms for the first time during pregnancy. Changes in hormone levels combined with increased stress can contribute to developing anxiety disorders during pregnancy.
Symptoms of an anxiety disorder include a general feeling of nervousness and panic attacks. During a panic attack, you may experience a racing heartbeat, lightheadedness, and have trouble breathing. The frequency and severity of panic attacks varies from woman to woman. In addition, some women experience unfounded fear or worry.
The need for medication for anxiety varies widely among pregnant women. A study at Duke University found that about 40 percent of pregnant women found their panic symptoms were reduced during pregnancy. Others found their symptoms either stayed the same or increased while they were pregnant. This difference means there is not one standard course of treatment that will work best for all women.
Ideally, you should talk to your doctor before you get pregnant. This is one of the benefits of pre conception counseling. Medications can be adjusted or changed, if they are not considered safe during pregnancy or if there is a drug that is thought to be safer than the one you are currently taking. If you are already pregnant, speak to your doctor about the medication you are taking as soon as possible.
The best treatment options depend on several factors, including the severity of the symptoms. Some women find a combination of talk therapy, relaxation exercises and other stress reduction techniques are helpful in reducing anxiety levels and the need for medication. Some women can get by without medication, while others are able to take a substantially reduced dose.
Some women will still need medication during pregnancy, if they continue to experience severe symptoms. Research is ongoing regarding the safety of various medications commonly used to treat anxiety disorders. Some are considered safer than others. Your health care provider can give you information about the safety of different medications and help you make the best decision regarding treatment options for you and your baby.
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