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Anxiety/Panic attacks part of PPD  

post #1 of 2
Thread Starter 
I've been prone to panic attacks during high stress times of my life (death of a loved one, loss of a job leading to having to move back in with parents, etc).

Before I got pregnant, I was on Lexapro and it was working just fine for me, even helped with my insomnia...and by helped, I mean it knocked me out around 10 p.m. and I slept like I was dead until 6 a.m..

Then I got pregnant and went off of the Lexapro.

The panic attacks and rapid cycling kicked in around month 6 of my pregnancy.

My dd is now 4.5 mo and I'm still experiencing the rapid cycling pretty regularly, and have had a number of panic attacks (mostly while driving alone with the baby or at night when everyone else is asleep).

I tried to talk to my primary care doc about this last week when I was seeing her for a sinus infection, but she basically blew me off and said we didn't have time to get into it and I needed to make another appointment. But I will be seeing my ob next week and intend to discuss it with him again...(we talked at 6 wks post-partum, but I was exclusively breastfeeding and he didn't want to prescribe anything just yet).

I honestly don't think I should be taking anything like a maintenance drug (like Lexapro, etc) a) because it makes me sleep very hard through the night, and I've got an infant to care for, and b) because I am still primarily breastfeeding...so I don't want to be on a daily medication. However, I think that I could definitely benefit from an acute-care medication like xanax or valium in low dosages. I don't know, you just hear so much about people drug-seeking that I feel conspicuous going to the doctor with such a well-formed concept of how I could best be treated.

I don't even know if the anxiety would be considered PPD anyway. I guess I'll just have to go talk to him. All I know is something has to give. I feel like I'm going crazy.
post #2 of 2
Yes, anxiety and panic attacks are a huge part of PPD. There are many meds you can take, I would actually rather see you on a maintenence med like zoloft than something to just take to relax you. Are you cosleeping? I think the zoloft would be best if you have the baby in the bed, as it will help you sleep but not so soundly that you wouldn't wake up if you had to. At least that's been my experience.

Zoloft is totally safe in nursing and pregnancy.

I really hope you talk to your OB and that they are educated about PPD. A lot of them aren't. If you do not get the help you need there, I would try finding a therapist from PSI at www.postpartum.net. They can help you find someone in your area who has a special interest in PPD and will recognize the symptoms.

Good luck and please don't be afraid to take meds if you need them.
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