ADHD Medication and Pregnancy<br /><br />Psychologists often see women who are trying to conceive or who are pregnant and concerned about the effects of their ADHD medication on the baby. The good news is that research suggests that it is safe to take stimulant medications throughout the pregnancy.<br /><br />The findings are based upon naturalistic studies that included an abundance of first-trimester expository sessions.<br /><br />Pregnancy<br /><br />Pregnancy and the birth of a child are exciting times for women, but some can worry about the effect of their ADHD medication on their child who is yet to be born. Stimulant medications are known to have potential teratogenic effects and some physicians advise patients to discontinue their medication while trying to conceive or during the first trimester of pregnancy. Many people with ADHD require medication in order to function and can be a struggle in this time without it.<br /><br />A recent study from Denmark discovered that exposure to methylphenidate within the first trimester (in the form of a redemption medication) did not seem to increase the risk of malformations that cause major damage in comparison to the control group who did not receive redeemed medications in the first trimester. The study used registry information from Danish databases to determine the gender of the pregnant women and their medical history as well as whether they were treated for ADHD.<br /><br />The researchers monitored 898 babies born to mothers exposed to methylphenidate and other stimulants in the initial trimester of pregnancy. They were compared to 1,270 babies in the control group that did not receive any stimulant medication, such as methylphenidate, during the first trimester of pregnancy.<br /><br />Both infants underwent an extensive assessment of birth defects in the heart like gastroschisis or the omphalocele. The results showed that infants born to women who were exposed to methylphenidate during pregnancy did not show any increased rates when compared with controls. This was true for both the first and second trimesters of pregnancy.<br /><br />This is a positive finding that can be comforting to pregnant women who use ADHD medication and might need or want to continue their treatment throughout pregnancy. It is important to note that this study did not examine the impact of other medications or lifestyle changes on a fetus, and other studies have revealed an association between stimulant medication use and adverse pregnancy outcomes, such as having a caesarean delivery, or the baby needing support to start breathing at birth.<br /><br />Breastfeeding<br /><br />Many women who have ADD or ADHD find that breastfeeding can be beneficial for their child even if they have to take medication to treat their symptoms. The mother and baby must be well-nourished. Therefore the decision about whether to breastfeed or take ADHD medications should be formulated with the assistance of a healthcare provider. The most recent recommendations and evidence1 suggest that women do not have to stop breastfeeding to take her prescribed medications. Numerous studies have demonstrated that the neurodevelopmental impacts on the baby's health over the long term are minimal when the mother takes her ADHD medication according to the prescription.<br /><br />Stimulants are among the most popular treatment for ADHD, including methylphenidate (with brand names Ritalin and Concerta) and dexamfetamine (brand name Vyvanse). They are available in immediate-release forms, which lasts for up to four hours and extended-release forms that are taken once a day in the morning and could last as long as 16 hours. Many people suffering from ADD or ADHD find the best way to treat their symptoms is to take extended-release medications in the afternoon or evening and then supplement it with an immediate-release tablet.<br /><br />Certain medications are not compatible with breastfeeding, like Clonidine, which decreases prolactin production and reduces production of milk. Some people with ADD or ADHD aren't ready to stop breastfeeding due to this reason. They decide to change their medication to another stimulant or non-stimulant like guanfacine or atomoxetine. These medications have lower RIDs and are more likely to be covered by the Pharmaceutical Benefits Scheme. If you are thinking about changing your medication during pregnancy or nursing it is essential to speak with an GP or a specialist. They can offer advice on the safest medication and how to monitor the infant's weight and growth. They can also refer you psychologists or psychiatrists to provide additional assistance. They may also refer you dietitians to assist in managing nutrition and diet.<br /><br />Postpartum<br /><br />During pregnancy, women go through immense physical, hormonal and emotional changes in their physical, emotional and hormonal. The transition to motherhood can bring tremendous joy, excitement and affection, but also anger and anxiety for some women. This is normal and it is important that the mother receives support from loved ones and her health care provider and/or a mental health professional in case she is experiencing difficulties.<br /><br />Being a mother can be exciting and overwhelming, however there is no reason why mothers should feel like she's all alone. Finding the balance can be difficult but you can help yourself by taking the time to rest and sleep. You should also attend your postpartum checks, since they can detect any issues that could be present early.<br /><br />Some women experience a brief period of depression or anxiety after the birth of their child, which is known as the "baby blues." This is a normal occurrence that tends to go away on its own within around a week. Certain people experience symptoms that are more intense and last for longer. This is referred to as postpartum depression and is a treatable illness. If a woman suffered from anxiety or depression in the past it is more likely to develop the condition again after giving birth.<br /><br /><br /><br />In a few instances, a woman can develop postpartum psychosis that is extremely risky for the mother and child. This is a psychiatric crisis that needs to be addressed promptly. The treatment could include a combination therapy and medication. A therapist who has lived experiences with this condition can be particularly helpful. If the symptoms are severe electroconvulsive (ECT) therapy may be recommended.<br /><br />In the case of an episode of postpartum psychiasis in a mother who is pregnant, the doctor is likely to prescribe an antipsychotic such as lithium or Valproate and an antidepressant such as citalopram. They might also suggest cognitive behavioral therapy to treat the underlying problems. <a href="https://www.iampsychiatry.com/adult-adhd-medication">Iam Psychiatry</a> , such as nortriptyline and imipramine are occasionally employed, but they can cause adverse side effects that are difficult to manage and are generally only prescribed if other medications have not worked.<br /><br />Adolescence<br /><br />Adolescence is a crucial period of physical, cognitive and psychosocial growth. It involves a shift from dependency on parents to a sense of independence when making decisions and deciding how to act in the world around them. Adolescents are interested in expanding their social circle beyond the immediate family, to include their peers, friends, and acquaintances. Their social network may also comprise members of student groups, team sports or jobs.<br /><br />As we grow older, changes in brain structure and connectivity are interacted with increased knowledge, experience and the changing demands of society to produce rapid cognitive growth. This includes improvement in selective and divided attention (the ability to concentrate on a variety of stimuli simultaneously) as well as working memory and long-term memory. In addition, adolescents' capacity to think abstractly and morally improves too.<br /><br />These cognitive changes are coupled with hormonal changes that cause adolescents to be more attracted to new and challenging experiences. Their hormones also cause them to seek out experiences that elevate their status in the eyes of others. This drive toward new experiences can be harnessed in positive ways like trying out for the school play or getting involved in a service project for the community. It is possible to take a healthy risk for example, like exploring sexual behavior or other risky behaviors when they are in a supportive and secure environment.<br /><br />Different rates of physical development can cause awkward stages of appearance during adolescence, and also feelings of self-consciousness and anxiety about the changes in their bodies. In some traditions, such as those of Aboriginal and Torres Strait Islander people, adolescents could be a time when young people begin to establish their place with their families, clans nations, ancestors, and their country.<br /><br />Teens' relationships with their friends can be a source of comfort or conflict during this time. The quality of these relationships is crucial for the health of adolescents and can be a major factor in their happiness and well-being. The relationship between adolescents and their parents can also be an important source of comfort, particularly if they can work out family issues in a non-threatening manner.<br /><br />