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ADHD Medication and Pregnancy Psychiatrists are often approached by women who are trying for a baby or are pregnant and are concerned about the negative effects of their ADHD medication. There's good news: Research suggests that, in the end it is safe to continue taking stimulant drugs during pregnancy. The findings are based upon naturalistic studies using a vast number of exposures to the first trimester. Pregnancy Women are excited about having a baby and expecting a baby however, they are concerned about the way their ADHD medication affects their child's future. These medications are known to cause teratogenic effects and some physicians advise patients to discontinue their medication while trying to conceive or during the first trimester of pregnancy. Many people suffering from ADHD require medication to function and may struggle during this period without it. A recent Danish study found that exposure to methylphenidate within the first trimester (in the form of a redeemable medication) did not seem to increase the risk of malformations that cause major damage when compared with the control group who did not receive redeemed medication during the first trimester. The study utilized registry-based data from various Danish databases to determine the number of pregnant women and their medical history before and during pregnancy, including information about whether the woman was being treated for ADHD. The researchers followed 898 babies born to mothers exposed to methylphenidate or other stimulants in the first trimester of pregnancy. They were compared to 1,270 babies in the control group who did not receive any stimulant medication or methylphenidate during the first trimester of pregnancy. Both groups of infants were examined for neurodevelopmental psychiatric disorders, other neurodevelopmental impairments growth impairments, fetal heart problems (such as gastroschisis, omphalocele or transverse limb deficiency). The results revealed that infants born to women who were exposed to methylphenidate during pregnancy did not show any increased rates when contrasted with those who were not. This was true both for the first and second trimesters. This is a promising finding that can be comforting to pregnant women who use ADHD medication and might need or desire to continue their treatment throughout pregnancy. This study did not assess the effects of lifestyle changes or other medications on the pregnant fetus. Other studies have revealed the connection between stimulant medications and adverse pregnancy outcomes, such as a caesarean birth, or the baby needing help to breathe at birth. Breastfeeding Even when women with ADD or ADHD require medication to control their symptoms, they find that breastfeeding helps their baby. The mother and child must be well-nourished. Therefore, the decision whether to breastfeed or use ADHD medications should be taken with the help of a healthcare provider. Based on the most recent guidelines and evidence1 women don't have to stop breastfeeding in order to take her prescribed medication. Numerous studies have demonstrated that the neurodevelopmental impacts on the infant's health in the long run are not significant when a mother is taking her ADHD medication as prescribed. Stimulants such as dexamfetamine and methylphenidate are frequently used to treat ADHD. They are available in immediate-release form that lasts up to four hours, and extended-release formulations that are taken every day in the morning. They can last for up to 16 hours. Many people with ADD or ADHD discover that the best way to manage symptoms is to take extended-release medications in the evening or afternoon, and then supplement it with a tablet that is immediate-release. Certain medications, like Clonidine, can reduce prolactin levels and are incompatible with breastfeeding. Some people with ADD and ADHD do not want to stop nursing due to this reason, so they change to a different stimulant medication. These drugs have lower RIDs and are more likely to be covered under the Pharmaceutical Benefits Scheme. It is important to speak with a GP or a specialist if are thinking of changing your medication during breastfeeding, pregnancy or in the early postpartum period. They can offer advice on the most secure medication and how to track the baby's growth and weight. The doctor or specialist can assist with referral to a psychologist or psychiatrist to receive additional assistance. They can also refer you to a dietitian who can assist with nutrition and diet. Postpartum During pregnancy the female body undergoes immense emotional, physical, and hormonal changes. The transition to motherhood can bring tremendous joy, excitement and love, but also frustration and anxiety for some women. This is normal, and it's important to get assistance from relatives, her doctor and/or mental health experts if the new mom is struggling. It can be exciting to be a parent, but it can also be overwhelming, but a new mother shouldn't feel that she has to do everything on her own. Finding the right balance is difficult but it can be helped by allowing yourself the time to relax, sleeping enough and eating healthy. It is also essential to schedule your postpartum checkups as they can spot any potential problems early on. Some women experience a brief bout of anxiety or depression following the birth of their child, which is called the “baby blues.” It is a common occurrence and tends to go away on its own within one or two weeks. Some people experience feelings that are more intense and last for longer. This is called postpartum depressive disorder, and it is a condition that can be treated. If a woman had anxiety or depression before the birth of her child, she is at a greater chance of developing it again following the birth of her child. In some cases women may suffer from postpartum psychosis, which is extremely risky for the mother and child. This is a mental health issue which should be treated promptly. Treatment may include a combination of medication and therapy. A therapist with experience in this condition can be extremely beneficial. If the symptoms are severe, electroconvulsive (ECT) therapy is suggested. If there is an episode of postpartum psychiasis in a mom, her doctor is likely to prescribe an antipsychotic medication such as Valproate or lithium along with an antidepressant such as citalopram. They may also recommend a course of cognitive behavioral therapy to treat the root causes. Tricyclic antidepressants, such as nortriptyline and imipramine are often prescribed, but they can have serious side effects. content are usually only prescribed when other drugs have failed. Adolescence Adolescence is a crucial time for physical, cognitive, and psychosocial growth. It requires a transition from dependency on parents to independence in making decisions and taking action in the world around them. Adolescents begin to consider expanding their social circle beyond their immediate family members to include their peers, friends and acquaintances. Their social networks also may include members of team sports, student groups or jobs. As we grow older, the changes in brain connectivity and structure interact with increasing experience, knowledge and the changing demands of society which result in rapid cognitive development. This includes improvements in selective and divided focus (the ability of focusing on several stimuli at the same time) and working memory and long-term memories. Furthermore, the ability of adolescents of thinking abstractly and morally improves too. These cognitive changes are accompanied by hormonal changes that make teenagers more attracted by new and intense experiences. Their hormones also force them to seek out experiences which will make them more attractive to other people. This desire to experience new things can be harnessed in positive ways for example, by taking part in an upcoming school play or getting involved in a volunteer activity for the community. It is also possible to take risks that are healthy for example, like exploring sexual activity or other risk-taking behaviors when they are in a secure and supportive environment. The differing levels of physical development can cause awkward stages in adolescence and feelings of self-consciousness or anxiety about the changes in their bodies. In certain cultures, such as those of Aboriginal and Torres Strait Islander people, the adolescent years can be a time where young people establish their identity with their families, clans nations, ancestors, and country. The relationships between teens and their friends can either be a source of support or conflict. The quality of these relationships is crucial to the wellbeing of adolescents and could be an important factor in their happiness and well-being. The relationship of adolescents with their parents can also be a significant source of support, especially when they are able to resolve family problems together in a non-confrontational manner.