Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge Center Wellness Library Depression During Pregnancy

Depression During Pregnancy

Topic Overview

Depression is common during pregnancy and in the postpartum period. If you have symptoms of depression during pregnancy or are depressed and learn you are pregnant, make a treatment plan with your doctor right away.

If you are being treated for depression and are planning a pregnancy, talk to your doctor ahead of time. You may be able to taper off of antidepressant medicine before your pregnancy, to see how you feel during your first trimester. It's best to be medicine-free, especially during the first trimester. But if you are severely depressed, your doctor will probably want you to stay on your medicine.

Don't ever suddenly stop taking an antidepressant. This can cause difficult emotional and physical symptoms and may also affect your fetus. Your doctor can tell you the best way to taper off of your medicine.

Depression treatment choices during pregnancy

If you are not severely depressed, interpersonal counseling or cognitive-behavioral therapy may be all that you need.

  • Interpersonal counseling focuses on your relationship and life adjustments, giving you emotional support and help with problem-solving and goal-setting.
  • Cognitive-behavioral therapy helps you take charge of the way you think and feel, while giving you a supportive relationship.

If counseling alone isn't enough, or if your symptoms are severe and disabling, talk to your doctor about other possible treatments:

  • Light therapy uses regular doses of bright light (not full-spectrum light, which includes ultraviolet light). Typically, a person having light therapy will sit in front of a high-intensity (2,500- to 10,000-lux) fluorescent lamp, slowly building up to 1 to 2 hours each morning. (Possible side effects include eye strain, headache, feeling "wired," and trouble falling asleep when light therapy is used later in the day.)
  • Antidepressant medicine, most often a selective serotonin reuptake inhibitor (SSRI), such as fluoxetine (Prozac) or sertraline (Zoloft). Fluoxetine and citalopram (Celexa) are not often used during breastfeeding, because they can pass into breast milk in high levels. If you are planning to breastfeed and are taking an antidepressant, talk about this with your doctor.

Women who take an SSRI during pregnancy have a slightly higher chance of having a baby with birth defects. But not treating depression can also cause problems during pregnancy and birth. If you become pregnant, you and your doctor must weigh the risks of taking an SSRI against the risks of not treating depression.

The U.S. Food and Drug Administration (FDA) has issued an advisory on antidepressant medicines and the risk of suicide. Talk to your doctor about these possible side effects and the warning signs of suicide.

Additional measures you can take against depression

Whether you use counseling, medicine, light therapy, or a combination, be sure to also get regular exercise, healthy food, fresh air, and time with people who care about you. These are all important parts of preventing and treating depression and having a healthy pregnancy.

For information about depression after childbirth, see the topic Postpartum Depression.

This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

© 1995-2022 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

Related Links

Pregnancy Depression

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna

Audiences

Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

Cigna Company Information

About Cigna Company Profile Careers Newsroom Investors Suppliers Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice [PDF] Language Assistance [PDF] Report Fraud Sitemap

Disclaimer

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities  that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details