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ADHD Medication and Pregnancy Psychologists often see women who are trying to conceive or who are expecting and worried about the impact of their ADHD medication on the baby. The good news is that Research suggests that, in the end it is safe to continue taking stimulant medications during pregnancy. The findings are based on naturalistic studies using a vast number of exposures to the first trimester. Pregnancy Women are excited about having a baby and expecting babies however, they are concerned about how their ADHD medication will affect their child's birth. Stimulant medications are known to have teratogenic effects and some physicians recommend patients to stop taking their medication while trying to conceive or during the first trimester of pregnancy. on the main page suffering from ADHD require their medication in order to function and can be a struggle in this time without it. A recent study in Denmark discovered that the first trimester exposure to methylphenidate (in the form of a prescription that has been redeemed) does not seem to increase the risk of major malformations when compared to a group that did not have redeemed prescriptions in the first trimester of pregnancy. The study utilized registry data from Danish databases to identify pregnant women and their medical history and whether they had been treated for ADHD. Researchers observed 898 babies whose mothers had been exposed to methylphenidate and other stimulants in the first trimester. They were compared with 1,270 babies in the control group that did not receive any methylphenidate or other stimulant medications in the first trimester pregnancy. Both infants underwent a comprehensive assessment for abnormalities in the fetal heart like gastroschisis and omphalocele. The results showed that infants born to mothers who were exposed to methylphenidate during pregnancy didn't have any increased rates as compared to the controls. This was true 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 might need or want to continue their treatment during pregnancy. It is important to note that this study did not examine the impact of other medications or lifestyle changes on the fetus and that other studies have demonstrated an correlation between the use of stimulant medications and adverse pregnancy outcomes, such as having a caesarean delivery or the baby needing assistance to start breathing at the time of birth. Breastfeeding Many women who have ADD or ADHD find that breastfeeding can be beneficial for their child even if they need to take medication to manage their symptoms. It is crucial that the mother and infant are well-nourished, so the decision to breastfeed or take ADHD medication should be made in consultation with a health care provider. The most current guidelines and evidence1 suggest that women do not have to discontinue breastfeeding to take her prescribed medications. Multiple studies have shown that the neurodevelopmental effects on an infant's health in the long run are not significant when the mother is taking her ADHD medication as prescribed. Stimulants such as dexamfetamine and methylphenidate, are often used to treat ADHD. They are available in immediate-release versions, which lasts for up to 4 hours, and extended-release versions that are taken once a day in the morning, and may last up to 16 hours. Many people with ADD or ADHD find that the best method to treat their symptoms is to take extended-release medications in the evening or afternoon and then follow it up with a tablet that is immediate-release. Some medications, such as Clonidine, decrease prolactin production and are incompatible with breastfeeding. Certain people suffering from ADD and ADHD don't want to stop breastfeeding for this reason, and so they change to a different stimulant medication. These medications are less likely to contain high RIDs, and they may be covered under the Pharmaceutical Benefits Scheme. It is important to speak with a GP or specialist if you are considering switching your medication during pregnancy, breastfeeding or in the early postpartum period. They can give you guidance on the most safest medications and how to monitor the growth of your infant and its weight. They can also refer you a psychiatrist or psychologist to provide additional assistance. They may also refer you to a dietitian for assistance with diet and nutrition. Postpartum During pregnancy, women experience enormous hormonal, physical, and emotional changes. For some women experiencing the transition to motherhood can bring big feelings of joy, excitement and love, but also frustration and sadness, or even anxiety. This is normal and it is important to ensure that the new mom receives support from loved ones and her health care provider, and/or an expert in mental health if she is struggling. It can be exciting to have a baby and it can also be overwhelming but a new mother shouldn't feel that she must take on everything by herself. Finding the right balance is difficult, but it can be made easier by allowing yourself time to relax, sleeping enough and eating healthy. It is also crucial to attend your postpartum checkups since they can spot any potential problems early on. The “baby blues” is an expression used to describe a brief time in which women experience depression or anxiety following the birth of their child. This is a normal occurrence that usually goes away on its own within about a week. However for some, these feelings can become more serious and last for longer. This is known as postpartum depressive disorder, and it is a condition that can be treated. If a woman has experienced depression or anxiety before it, she is at a higher chance of developing it again after the birth of her child. In certain instances, women can develop postpartum psychiasis. This is extremely dangerous for both mother and child. on the main page is a psychiatric crisis and should be treated promptly. Treatment could consist of a combination of medication and therapy. A therapist who has experience with this condition can be extremely helpful. If the symptoms are severe, electroconvulsive therapy (ECT) may be recommended. In the case of an episode of postpartum psychiasis that affects a mother, her doctor is likely to prescribe an antipsychotic like lithium or Valproate along with a mood stabilizer such as citalopram. They may also recommend the use of cognitive-behavioral therapy to address the underlying issues. Tricyclic antidepressants, such as nortriptyline and imipramine are sometimes prescribed but can cause serious side effects. They are usually only prescribed after other treatments have failed. Adolescence Adolescence is a crucial period of physical, cognitive and psychosocial development. Adolescence is a period of rapid growth in terms of cognitive, physical and psychosocial development. Adolescents become interested in expanding their social circle beyond the immediate family, to include their friends, peers and acquaintances. Their social networks could also include members of team sports, student groups or even jobs. In adolescence, the biological changes in brain connectivity and structure are influenced by increasing knowledge, experience and the changing demands of society which result in rapid cognitive growth. This includes improvement in selective and divided attention (the ability to focus on a variety of stimuli simultaneously), working memory and long-term memory. Furthermore, the ability of adolescents of thinking abstractly and morally also improves. These cognitive changes are accompanied by hormonal changes that make teenagers more attracted to new and intense experiences. The hormones in their bodies also trigger them to look for experiences that elevate their status in the eyes of others. The desire to explore new things can be used to benefit others, for example by participating in a school play. It is possible to take a healthy risk, such as investigating sexuality or other risky behaviors when they are in a safe and secure environment. The various rates of physical growth can cause awkward stages in adolescence and feelings of self-consciousness or anxiety about their body changes. In some cultures, such as those of Aboriginal and Torres Strait Islander people, adolescence might be a time in which young people establish their identity in relation to their families, clans nations, ancestors, and their country. The relationships between teens and their friends can be a source of support or conflict. The quality of these relationships is vital to the wellbeing of adolescents and could be an important factor in their wellbeing and happiness. The relationship of adolescents with their parents can be a significant source of support, especially when they are able to resolve family issues in a non-confrontational manner.