How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Vikas Your Own Question

Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2208
Experience:  MBBS ; M.D Psychiatry, MS. Health Informatics
4079050
Type Your Mental Health Question Here...
Dr. Vikas is online now
A new question is answered every 9 seconds

I just found out that I am pregnant. I suffer from severe anxiety

Resolved Question:

I just found out that I am pregnant. I suffer from severe anxiety and depression. I was on Paroxetine 40mg and Xanax ,5mg as needed and had to stop abruptly. Is there a safe SSRI to take during pregnancy I cant handle the off balance and panic attacks. Please help.
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Vikas replied 1 year ago.

Dr Vikas :

Hello

Dr Vikas :

You can discuss with your doctor about Escitalopram or Sertraline. Both of them are pregnancy category C drug. [Some animal studies show adverse effect, no cnotrolled studies in humans].

Customer:

Are they anti-depression/anxiety? Category C. Thats somewhat dangerous as well?

Dr Vikas :

Just like most of the antidepressants, while selecting a SSRI antidepressant, a clinician must weigh the risk of treatment to the child against the risk of no treatment to the mother and the child and for many patients the decision is to usually continue the treatment with Sertraline or Escitalopram.

Dr Vikas :

see, as such there is no particular SSRI antidepressant which is considered safe in pregnancy.

Dr Vikas :

Antidepressants are usually avoided during first trimester.

Dr Vikas :

but depending on the clinical circumstances, a doctor may decide to continue treatment.

Customer:

Oh, I see. Its just hard because the disorder has come back so hard since abruptly stopping the medication. I believe that the stress is also affecting the baby.

Dr Vikas :

I can understand your situation. And that is why, I am asking you to discuss with your doctor about these two medicines.

Dr Vikas :

in addition to medicines, you can also try certain relaxation techniques if you have not tried them already

Dr Vikas :

In your case, Deep breathing and progressive relaxation techniques can be very useful in controlling the acute anxiety attack.

Customer:

I really appreciate you taking the time out to suggest these medications. Hopefully they will approve and one will work. The constant off balance make you feel ass if you are going to faint or worse. Ive tried meditation my mind just races so that hasnt been a sucess.

Dr Vikas :

you are most welcome. Just try the relaxation techniques also.

Customer:

I fully intend on trying these methods. God willingly they will work. Thanks for your time Dr. Vikas

Dr Vikas :

you are most welcome again.

Dr Vikas :

don't worry, these techniques should be helpful in your case and may be you won't be needing medicines too.

Dr Vikas :

wishing good health for both the mother and the baby..

Dr Vikas :

Kind regards

Dr Vikas :

Vikas

Dr Vikas :

If you are satisfied with my answer please rate one of the positive ratings (3,4,5 / smiley faces) as this is the only way how we are compensated for our time and expertise.


Please take a moment to rate the answer.

Customer:

Okay. Thanks

Customer:

I am satisfied with the answers. I felt an anxiety attack brewing and this totally calmed me down.

Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2208
Experience: MBBS ; M.D Psychiatry, MS. Health Informatics
Dr. Vikas and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education