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ADHD Medication and Pregnancy Psychiatrists are often approached by women who are trying for the birth of a child or are pregnant, and are concerned about the negative effects of their ADHD medication. The good news is that research suggests it is safe to take stimulant drugs during pregnancy. The results are based on naturalistic studies with a large number of exposures to the first trimester. Pregnancy Women are excited about having a baby and expecting the baby however, they are concerned about the way their ADHD medication will affect their child's birth. Some physicians advise their patients to quit taking stimulant medications during pregnancy or when trying to get pregnant. Many people suffering from ADHD need their medication to function, and they may have difficulty during this period without it. A recent study from Denmark found that exposure to methylphenidate within the first trimester (in the form a redeemable medication) did not seem to increase the risk of major malformations when compared with the control group that did not receive redeemed medication in the first trimester. The study used registry-based information from various Danish databases to identify pregnant women and their medications prior to and during pregnancy, including information about whether the woman was treated for ADHD. The researchers followed a total of 898 babies born to mothers who were exposed to methylphenidate and other stimulants in the first trimester of pregnancy. They were compared with 1,270 babies in the group that did not receive methylphenidate, or any other stimulant medication in the first three months of pregnancy. Both infant groups were screened for neurodevelopmental disorders of the psychiatric kind and other neurodevelopmental disorders, growth impairments, and fetal heart issues (such as gastroschisis, omphalocele or transverse limb deficiency). The results revealed that infants of women exposed to methylphenidate in utero did not have increased rates of any of these conditions compared to the controls. This was the case for both the first and second trimesters of pregnancy. This is a promising finding that can be comforting for women who are pregnant and take ADHD medication and might need or desire to continue their treatment during pregnancy. It is important to understand that this study did not examine the impact of other medications or lifestyle changes on a fetus and that other studies have shown an correlation between the use of stimulant medications and adverse pregnancy outcomes, such as having a caesarean birth or the baby needing support to start breathing at birth. Breastfeeding Many women who have ADD or ADHD find that breastfeeding is beneficial for their baby, even when they need to take medication to manage their symptoms. It is crucial that both the mother and baby are well-nourished, so the decision to breastfeed or use ADHD medication should be taken in consultation with a health care provider. According to the most recent guidelines and evidence1 that a woman does not need to stop breastfeeding in order to take her prescribed medication. In fact, multiple studies have shown that the long-term neurodevelopmental effects for the baby are not significant if the mother takes her ADHD medication as prescribed. Stimulants such as methylphenidate and dexamfetamine are commonly used to treat ADHD. They are available in two forms: immediate-release that lasts for up to four hours; and extended release, which is taken once daily in the morning and can last for up to sixteen hours. Many people who have ADD or ADHD find that the best way to combat their symptoms is to take the extended-release medication with an immediate-release pill in the evening or afternoon. Some medications are not compatible with breastfeeding, like clonidine, a drug that reduces prolactin secretion and decreases the production of milk. Certain people with ADD or ADHD aren't ready to stop breastfeeding due to this reason. They decide to switch their medication to another stimulant or non-stimulant, like guanfacine or atomoxetine. These medications are less likely to have high RIDs and may be covered under the Pharmaceutical Benefits Scheme. It is crucial to speak with an GP or specialist if you are considering changing your medication during pregnancy, breastfeeding, or early postpartum. They can offer information on the most secure medication and how to track the growth of your infant and its weight. The doctor or specialist can also help with the referral to a psychiatrist or psychologist to receive additional assistance. They may also refer you to a dietitian for help with diet and nutrition. Postpartum During pregnancy, women undergo enormous hormonal, physical, and emotional changes in their physical, emotional and hormonal. The transition to motherhood can bring immense joy, excitement, and love, but also frustration and anxiety for some women. This is normal and it is important that the new mother gets assistance from her family, her health care provider and/or an expert in mental health in case she is experiencing difficulties. It can be exciting to have a baby and it can also be overwhelming, but a new mom shouldn't feel that she must take on everything on her own. Finding the balance can be difficult, but you can help yourself by taking time to rest and sleep well. It is also important to attend your postpartum check-ups because they can identify any issues that could be present early. Some women may experience a brief moment of depression or anxiety following the birth of their child, which is known as the “baby blues.” This is a common condition that tends to go away by itself within about a week. Some people experience feelings that are more severe and last for longer. This is referred to as postpartum depression, and is a treatable illness. If a woman has had anxiety or depression before the birth of her child, she is at an increased risk of developing it following the birth of her child. In a few instances women may develop postpartum psychosis that is extremely risky for the mother and child. It is a psychiatric emergency that should be treated immediately. Treatment could consist of the use of medications and therapy. A therapist with experience in this condition can be extremely beneficial. If the symptoms are severe electroconvulsive therapy (ECT) may be recommended. If mother suffering from postpartum psychosis, the doctor is likely to prescribe an antipsychotic medication like lithium or valproate as well as a mood stabilizer such as citalopram. They may also recommend the use of cognitive-behavioral therapy to address the underlying issues. Tricyclic antidepressants, such as nortriptyline and imipramine are occasionally utilized, but they can also have adverse side effects that are difficult to manage and are generally only prescribed if other medications haven't worked. Adolescence Adolescence is an important time for physical, cognitive, and psychosocial development. Adolescence is a period of rapid growth in terms of physical, cognitive and psychosocial development. Adolescents begin to consider expanding their social circle beyond their immediate family to include their friends, peers and acquaintances. Their social networks could include members of student organizations as well as team sports or jobs. During adolescence the biological changes in brain connectivity and structure interact with increasing experience, knowledge and social demands, resulting in rapid cognitive growth. This includes improvements in selective and divided focus (the ability to concentrate on different things at the same time), working memory, and long-term memory. In addition adolescents' ability to think abstractly and morally improves. These cognitive changes are coupled with hormonal changes that make adolescents more attracted to novel and challenging experiences. adhd no medication force them to seek out experiences that raise their status above others. adhd without medication to explore new things can be utilized in a positive way, for example by participating in a school performance. It is also possible to take healthy risks like engaging in sexual activities or other risk-taking behaviors when they are in a secure and supportive environment. Varying rates of physical development can cause awkward stages of appearance during adolescence, and also feelings of self-consciousness or anxiety over their body's changes. In certain cultures, such as those of Aboriginal and Torres Strait Islander people, adolescents could be a time when young people begin to establish their place in relation to their clans, families, nations, ancestors and country. Teens' relationships with friends can be a source of strength or conflict during this period. The quality of these relationships is vital for the health of adolescents and can be an important element in their wellbeing and happiness. The relationships between adolescents and their parents can be a wonderful source of assistance for them, especially if they are able to resolve issues in a non-confrontational manner.