And oh sweet Jesus is a severe mental health episode during pregnancy an absolute bitch to manage even inpatient. You take the stress of rapidly discontinuing a long term med then throw in pregnancy hormones and shit gets completely out of hand so fucking fast.
THEN I can't even give a gotdamn antihistamine for anxiety let alone a benzo! Keep her at home on her perfectly fine and normal Prozac! idw no peripartum anything up in my face. Give me the normal crazy I actually have meds for jfc. I'm on like five different actual hard hitters myself like the ones you ACTUALLY can't take during pregnancy (one of the reasons I'm forgoing pregnancy entirely).
If it's a choice between keeping them stable on an SSRI vs the risk of peripartum crisis I pick the SSRI any day. If anybody is this worried about SSRIs they need to look more into better women's health overall so they're less likely to need the SSRIs to begin with. Offer a better support BEFORE ripping out the currently functioning one.