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Depression - Treatment During Pregnancy Algorithm

Depression - Treatment During Pregnancy Algorithm - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Psychiatry, Related


Pregnant Patient Diagnosed with Depression
Appendix E. Depression Treatment during Pregnancy Algorithm
Currently taking
antidepressant?
Mild/Moderate
Severity
Moderate/
Severe Severity
New
diagnosis?
YesNo
Willing to
discontinue?
Continue
pharmacotherapy
after discussion of
risks and benefits;
monitor symptoms
No Yes
Psychotherapy
(IPT or CBT)
Positive
response?
Continue
psychotherapy;
monitor symptoms
Yes
Willing to
consider
medication?
No
Consider medication in
addition to
psychotherapy; monitor
symptoms
Yes
Past relapse
after stopping
medication?
Yes
Consider tapering
antidepressant,
monitor for relapse
and refer to
psychotherapy
No
Severity
moderate to
severe?
No
Consider
referral to
Psychiatry
Yes
No
Last reviewed: 04/2015 | Last revised: 04/2015
Contact CCKM for questions.
Depression – Adult/Pediatric – Ambulatory Clinical Practice
Guideline
Reference: Yonkers KA, Wisner KL, Stewart DE, et al. The management of depression during pregnancy: a report from the American
Psychiatric Association and the American College of Obstetricians and Gynecologists. Gen Hosp Psychiatry. 2009;31(5):403-413.
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 04/2015CCKM@uwhealth.org