**Disclaimer (in case the title wasn’t disclaim-y enough for you): Like literally everything else on this CLEARLY non-medical blog, the following is based on MY personal experience. It is not intended to serve as definitive medical advice for my fellow mental health sufferers. I am not telling you to go off your meds, and I’m not telling you to stay on them. I am suggesting that you thoroughly consider your options, under the close care of a doctor who knows you well, and that you advocate for yourself before making a rash, fear-based decision. Mostly I am just letting you know that no matter what you decide or what you are going through, try to go easy on yourself. You’re doing the best you can. You are not alone. And you got this.**
A lot of people have asked me if I’m still on my depression/anxiety meds while pregnant. This is a totally fair and welcomed question, mainly because most of you have asked in a matter-of-fact, non-judgmental, just-curious way, like, “Oh, hey, what’d you end up deciding about that?” But some of you have asked in more of an accusatory “You’re not still on your meds, are you!?” way that implies some sort of moral wrongness should I be on them– and even though I know (most of) you people come from a well-meaning place, it still makes me want to light your face on fire.
So allow me to try to explain a few things. Knowdlege is power and faces are generally better not aflame.
The answer is no, I am not on my meds. But let me be VERY clear about this– I am not off them because I have some kind of holier-than-thou judgement about staying on meds while pregnant. I have absolutely NO judgement about that, and in fact encourage women to stay on them if that’s what works best for their health and situation. Obviously. I am the queen of mental health triage– you do what you gotta fucking do to keep your marbles, sista! #sanityfirst
The drug I was on, Prozac (an SSRI), is actually known to be safe for pregnancy, and I know plenty of women who have been on this drug or others like it and have given birth to perfectly healthy children. And in fact, countless medical studies show that having a depressive episode or being acutely anxious while pregnant is far more harmful to a fetus than taking medication that will effectively treat these conditions (these MEDICAL conditions, in case you needed a reminder that this shit isn’t made up hocus pocus, they are legitimate illnesses). But yes, it is true that some mental health meds are unsafe for pregnancy. As long as you are discussing family planning with your therapist ahead of time, though, he/she should be steering you clear of those particular meds while pregnant.
Soooo after reading the above regurgitation of all the fun medical facts I’ve learned during my family planning journey, you’re probably wondering, “Ok, so if all of that is true, why DID you stop taking your meds?”
Well, in a shocking turn of events, it was for no good reason at all, really. Basically, my therapist presented it to me like this: “The optimal, ideal situation is that you are off all medications and feeling fine, aka not depressed or anxious. Should you go off them and feel anxious or depressed, then the next best situation is for you to go back on them and stay on them for pregnancy. The least optimal scenario is that you have an acute depressive episode or debilitating anxiety while pregnant.”
Ok, so obviously all I heard there was, “The optimal, most ideal situation is that you are off meds….” and then I sort of stopped listening and everything else just became . After all, it was my first time getting pregnant, I had no fucking clue what to expect or what the process TRULY entailed, so yeah, I wanted to do the thing I was told is “optimal.” No-brainer here. Do the “optimal, ideal” thing, because those are strong words that sound good. And I’m gonna be a good mom, damnit!
I’m not saying that line of thinking made sense, I’m just saying it’s the line of thinking I had when I quickly declared, “Ok, off the meds we go!” with far more confidence than any medication-dependent person with a lifelong mood disorder should have.
This decision was made back in July, and we weren’t planning to try to get pregnant until December, so I still had some time to wean off and be completely med-free for a bit before inviting a fetus into this
shitshow of an experiment delicate situation.
A few things to note.
- For the previous year before going off it, I had been on a very low dose of Prozac. That was part of why I felt I could probably be ok stopping it. Had I been on a high dose, it would have been a much more difficult and lengthy weaning process and likely wouldn’t have been worth it in my mind. Going off a low dose seemed easy and low risk.
- That being said, the last time I was med-free (age 26), I lost my goddamn mind. Like, completely incapacitated, lost 25 pounds, moved back in with my parents, played lots of senior-living type board games and took copious lukewarm baths just to pass the interminable minutes. I was extremely sick, and it was terrifying.
- THAT being said, I was younger then, far more naive, and had no idea what was happening to me. I had no reliable therapist, coping skills, or treatment plan for dealing with my illness. I didn’t even remotely UNDERSTAND it as an illness, so I certainly had no way of managing it (and no faith that it would ever end). Since then, I’ve done a ton of work on myself and have learned how to manage things (to the extent that I’m able) when life gets dark.
- THAAAAAAT being said, I’ve always had the medication to help me.
The conclusion I made based on these four somewhat unhelpful and conflicting points? If I go off the meds and things get bad, they probably won’t get as bad as that really bad time, because things are different now, and I’m more prepared.
But let’s be real, given I’ve had the consistent help of meds for 9 years, there’s just no possible fucking way to know that.
So I took the gamble, because gambling is fun when you’re drunk in Vegas so it’ll probably also be fun when you’re sober and housing a fetus, thought no one logical ever.
And at first it was fine. The weaning went smoothly. By the time I was completely off the meds, it was late October, aka my non-optimal time of year thanks to colder, darker weather setting in, and a general life-long refusal to understand why summer ends. So I didn’t feel GREAT* (*not really my M.O. regardless) but I certainly wasn’t depressed. Plus we had the 2-week, warm-weather honeymoon to look forward to, so that kept me going.
But the second I got pregnant in early December, shit hit the fan. I alluded to a lot of this in my post In a Shocking Turn of Events, I Am No Glowing Goddess, but shied away from some of the grimmer details because a) it was my first post about the pregnancy so I didn’t want to come out Depression guns a blazin’ and b) I was genuinely excited to finally share the news. But I do now feel the responsiblity, as a mental health advocate and general blogger of honesty, to let it be known that I was NOT ok that first trimester. I was hesitant to use the word “depressed” while I was in it, because I really didn’t want to admit to needing meds, and I felt like I should “stick it out” until the second trimester. Plus, recognizing you’re depressed WHILE you’re depressed isn’t always easy– it’s part of the mind-fuck of the illness. The very symptoms of depression (self loathing, worthlessness, hopelessness) prevent you from assessing the situation as “This is medical. I am ill,” and instead twist it to “I am the worst, I am being a little bitch, and I need to grow a pair.” (but alas, you cannot grow a pair– and the harder you try, the more you hate yourself for failing. Tricky little devils, these mood disorders).
I convinced myself it was all normal first trimester stuff. And some of it definitely was. Constant nausea and exhaustion will make anyone feel like shit. But some of it was really fucking dark, and I’m not so certain that’s normal.
I cried every single day. I stared blankly a lot. I couldn’t write, and could barely read. I felt absolutely no attachment to the pregnancy, and had no ability to see how anything was going to get better, or how I was supposed to love or care for a child. I was stuck in a thought loop of “You’re going to be a terrible mom, what were you thinking? This was a huge mistake.” I could barely get out of bed and I felt horribly, utterly lonely– the kind of lonely that can’t be cured by another person comforting you, because that ironically just makes you feel all the more alone (on that note, God bless Eric. No, literally, God, PLEASE bless him with a bevy of Corgi puppies upon his eventual arrival in heaven). That self-hating loneliness was the only feeling I had– about anything else, I felt absolutely nothing at all. It was 3 long months of toggling between complete isolated self-loathing and absolute, utter detachment. I’m not sure which I prefered. Both were pretty fucking non-optimal.
But it got better, eventually. Very recently. Do I feel great now? No. But I’m not depressed, and I’m able to feel excited at times. I have some energy back. I feel more motivation to get up and go. I open the blinds. I listen to music. I’m doing my job, not just suffering through it. I walk on the treadmill. Food tastes like food again.
But please note, the second after this baby is born: (<— definitely what post-labor looks like, no?) I will be right back on that Prozac. That was always the plan– my risk for postpartum depression is high, and we’re not taking any chances. And when it comes to the next pregnancy, should I be lucky enough to have that happen, I will likely stay on the meds. Those 3 months were horrible, and I see no reason to make an experience that is so hard on even the average, emotionally stable woman even harder.
So, this is just to say, if you are one of those pregnancy newbies out there, and you are presented with your options in the same way I was, please know that it’s ok to not choose the “optimal, ideal” scenario if it’s not going to work for you. It’s not optimal or ideal if you feel like a self-loathing garbage truck for three months. It doesn’t make you selfish– it makes you reasonable and responsible. There is no wrong moral choice here, and you shouldn’t feel bullied* into making a decision that might not make sense for you (*to be fair, I really wasn’t bullied by my doctor. I still completely trust her. While I wish she had worded it slightly differently, what she said was perfectly reasonable– but I heard what I chose to hear and then I proceeded to bully myself, because that’s what we depressives do best).
But how should I respond when told it’s best to try to go off the meds, even if I don’t feel that’s the best option for me, you ask?
Well, next time, I’m probably going to say this, so feel free to borrow it: “Nope nope nope! No thanks, Doctor Person Who Isn’t Me, but I am me and because of that, I know myself farily well by now, and I sure do enjoy being sane! Seems the risks of the meds are pretty low, and the risks of me losing my shit are pretty high, so I’m going to keep doing that thing where I’m lucid and functional and seeing the point in showering, because, even though I don’t know much about babies yet, I DO know it’s easier to care for them when your mind is firmly planted in reality and you don’t wake up wondering why you have to exist. Right? Babies like moms who care about living and eating and clothing themselves? I feel like I read that somewhere and it sounded accurate.”
Or something similar. There’s probably a less condescending way, I don’t know.
Bottom line, do what works for YOU. I am not advocating for either option– every mental health situation, and every person, is different. I am simply advocating for you to advocate for yourself (under the care of a doctor you trust, of course. I really hope that goes without saying), and to really think through what will work best– again, for YOU.
Did going off meds work for ME? Meh. Hard to say at this point, because now that I’m out of the darkest darkness (I hope), it’s like “Ok, I survived that and no one died or anything, so that’s good.” But should that be the standard? No one died? Probably not. I feel like it was a lot of unnecessary suffering and potential risk, and I can’t imagine ever willingly going through that again. Plus, I can only hope and pray that my struggle didn’t harm the baby. So far everything looks good in there, the heartbeat is rapid and strong (doc says “Sounds great!,” I say “Sounds like anxiety!”), and I have no tangible reason to think she’s not thriving. But who really knows. And whether on or off meds, I’d have that “who really knows” feeling regardless. So next pregnancy, pretty sure it’s gonna be .
And if you’re not ok with that? That’s cool. Just express your judgement to someone else, not me. I can’t go lighting faces on fire once I’m a mom, but I can definitely teach my kid to spit in your eye and claim it’s an accident.
We’re pregnant! With a girl! (Which is great, as long as she is nothing like me).
We’re definitely starting to feel the excitement now that we are entering the second trimester and I no longer want to Linda Blair vomit all over town and have stopped drooling like Homer Simpson at a pig roast (oh, you didn’t know involuntary drooling was a pregnancy symptom? Well, neither did I until I got up to pee for the 47th time one night and essentially slipped in a pool of my own saliva).
So on that note, hey, here’s something no one tells you: the first trimester fucking blows. No, I’m kidding. Tons of people DO tell you that, minus those goddess-moms who feel great and glowy from day 1, but let’s be real, I’m not friends with those people. Because ew.
So yeah, most people say the first trimester is tough but guess who sort of secretly thought she’d be different, based on absolutely zero evidence?
In fact, not only did I have zippity do dah ZILCH reason to think I’d have an easy first trimester, every thing I’ve experienced in life up to this point perfectly illustrated that I would be literally THE WORST. My run-of-the-mill non-pregnant existence– like, a day I’d describe as “feeling pretty good”– is essentially already a mild version of pregnancy (exhaustion, stomach issues, headaches, irritability, anxiety, moodiness, profuse sweating, overactive bladder….). So I told myself, based on whatever the opposite of logic is, that because I feel pregnant NORMALLY, when I actually AM pregnant I will feel BETTER. It’s similar to the kind of logic one uses when they’ve had 18 too many tequila shots or are Forrest Gump.
It was just hopeful optimism– something I don’t usually partake in, so I’m not sure why I chose THIS particular circumstance to start lying to myself.
Here’s the logical conclusion that a rational person would come to, and perhaps then wisely prepare herself for– If you feel sort of physically crappy in your day-to-day regular life, in no circumstance are you going to feel LESS crappy when you add a nutrient-sucking fetus into that equation (and by “into that equation” I mean “into YOUR UTERUS.” The uterus that is INSIDE YOUR BODY, GUYS! I will never get over this. The “What’s Happening to My Body Book For Girls” Mom gave me at age 14 did NOT adequately prepare me for understanding how this is a thing humans can and should be doing. It’s fucking Animal Planet over here, except I have to go to a job every day and politely respond to people without vomiting on their face).
So anyway, yeah: “Feel Semi-Crappy Normally + Fetus Monster in Belly = Feel Crappier” is not exactly as obvious, concrete and indisputable as “1 +1 =2” but it’s pretty damn close, Forrest.
So weeks 5-12 were miserable. And I don’t say that to sound ungrateful, because believe me, I know how lucky Eric and I are that this happened for us, and happened so easily (more on that in a future post entitled “My Geriatric Uterus is Wearing a Catcher’s Mitt”). We are of course thankful for that, this is something we very much wanted, and we are both beyond looking forward to being parents (in that terrified-excited kind of way you look forward to riding a super-rickety, still-in-the-test-phase roller coaster that you heard many people have died on).
But I’m not going to sit here and say this early part is magical. If you’re looking for that sentiment, I’m not entirely sure why you read this blog. Maybe this is your first time here and you know nothing about me, so if that’s the case, let me catch you up: My name is Emily. I don’t do whimsy.
So that leads us to the texts below. I was too tired, nauseous, and, quite frankly, sad to do any real writing these past two months, but I did somehow find the time to annoy/harass/alarm/frighten/disgust Eric with every single feeling I experienced as I experienced it. There was no emergency-bathroom situation that he was not a part of because A) THAT’S HOW LOVE WORKS and B) the late Steve Jobs definitely invented iMessage for the purpose of toilet updates in real time, so what am I going to do, NOT honor him?
So below is a chronicle of highlights (and I use that term VERY loosely, because I know of no society that would list “violent dry heave” as a highlight) of the first trimester, through text.
I’ll admit that reading through these was hard because, now that I am in a better place, my assessment is that I sound pretty damn whiny in a lot of these exchanges (and by “exchanges,” I mean me texting novels of complaints and Eric not knowing what to say because there is literally nothing TO say, but I just needed someone to listen and also not divorce me after listening. God bless his soul).
I imagine his face while reading was a mix of this , this and this , but he never let me know it, and that’s all that counts. 90% of marriage is knowing how to swallow your feelings and lie convincingly when your partner needs you to.
I actually ended up removing the majority of the sad, exasperated texts because they were just far too frequent, don’t make for great reading, and I think you can get the gist of my mental state by just perusing a few. And the texts aren’t ALL misery– there’s humor sprinkled throughout, because I’ve done my best to try to laugh when I can, which is SUPER hard when you feel like death, but becomes possible when you have a partner with the temperament, light-heartedness and excitability of a newborn corgi.
But bottom line– this shit is hard. For ANYONE. Is it harder for someone with mental health issues? I’m honestly not sure. I’d be lying if I said that I haven’t had some seriously depressive thoughts these past couple months, but I think early pregnancy can do that to anyone– veteran mental-health-sufferer or not– because the hormone surges are nothing short of batshit insanity. Sprinkle in some isolation (not sharing this HUGE thing going on in your life straight up sucks), the removal of your usual get-through-the-day crutches (coffee, wine, Advil, vigorous exercise, writing, openly venting to anyone who will listen including the internet) and add some persistent anxiety over not having that possible miscarriage that Google (and every Jew) loves to warn you about, and you have a perfect shitstorm for needing emotional life support. I legit don’t know how anyone keeps it together in the first few months (but if you’re one of those people, no judgement at ALL. Just a lot of jealousy and maybe also a touch of spiteful resentment and hatred).
And so if one struggling woman reads this and can relate and feel a bit better about the fact that her early pregnancy is/was no walk in the park either, then I’ve done the job I always set out to do– reach someone with the ugly, vomit-ridden truth.
So here’s what you missed– enjoy!….?
(note: Days refer to when we found out– so Day 2 is the 2nd day we knew we were pregnant)
Day 2 (while at a dentist appointment):
Day 3, later:
Day 4, (meeting my girlfriends for dinner):
Day 17, (once daily vomiting commenced):
Day 28 (After finding out that my blood type is negative, and if Eric’s were to be positive, I would require an injection)
Day 49 (after a lengthy ultrasound):
Day 64 (after finding out it’s a girl):
My therapist calls and I pick up to begin our phone session…
Me (sniffling): “Hello?”
Therapist: “Are you ok?”
Me: “Yes, sorry, I just made the mistake of watching This is Us on DVR and of course now I’m ugly choke-sobbing.”
Therapist: “What is This is Us?”
And then I got a new therapist.
Me: “I just haven’t been feeling great for the past month. I’m exhausted and unmotivated and just want to hibernate.”
Therapist: “Wine or booze?”
Me: “Oh my god, yes! Please! Both!”
Therapist: “Excuse me?”
Therapist: “I said ‘winter blues?'”
Therapist: “What did you think I said?”
Just thought you were offering an ACTUAL CONCRETE SOLUTION FOR ONCE.
Real Story: A guest at our wedding is a friend of Ben Platt’s parents. This guest told Ben’s parents that “You Will Be Found” was our first dance song, and Ben’s parents told Ben, who then very graciously offered to autograph a photo for us.
Story I tell myself: Oh, NBD but Ben Platt reads and loves the blog. Huge fan of mine. He knows I love Dear Evan Hansen and that “You Will Be Found” was our wedding song, so he contacted our photographer and arranged this whole surprise for us because, you know, that’s the kind of thing celebrities do for their fellow celebrity friends.
Story I tell others: One of the two above, depending on how well I know you and your ability to fact-check.
Therapist: “So it seems like all those travel anxieties you had leading up to your Africa trip were, as usual, in vain, because none of them happened.”
Me: “Ummm….were you listening? I got a violent stomach bug, vomited across two separate countries/airports/airplanes, spent the whole last leg of the trip exhausted and achy– and I in fact STILL don’t feel like myself.”
Therapist: “Right but your fear is always that you’ll feel sick for no real reason. This was an actual REASON.”
Oh you are really fucking reaching today lady.
Things you should know if you know me.
Leaving in a couple days for our honeymoon in South Africa….