{"id":24455,"date":"2026-06-04T08:00:00","date_gmt":"2026-06-04T13:00:00","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=24455"},"modified":"2026-06-01T09:58:26","modified_gmt":"2026-06-01T14:58:26","slug":"stop-ssris-pregnancy","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/stop-ssris-pregnancy\/","title":{"rendered":"Peut-on diminuer ou arr\u00eater un ISRS en toute s\u00e9curit\u00e9 pendant la grossesse ?\u00a0"},"content":{"rendered":"\n<p>In Part I of this article, we talked about the potential risks of SSRIs during pregnancy, as well as the risks of untreated depression and other mental health issues. <a href=\"https:\/\/naturalwomanhood.org\/ssris-pregnancy\/\" target=\"_blank\" rel=\"noreferrer noopener\">Click here<\/a> to find out what the research shows, and why the calculus behind remaining on an SSRI during pregnancy is a nuanced decision.<\/p>\n\n\n\n<p>Now, in Part II, we\u2019ll dive into what your options are if you\u2019re considering pregnancy or are already pregnant and on an SSRI.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-honestly-evaluate-if-remaining-on-an-ssri-is-the-safest-option-for-you-and-your-baby\"><span id=\"honestly-evaluate-if-remaining-on-an-ssri-is-the-safest-option-for-you-and-your-baby\">Honestly evaluate if remaining on an SSRI is the safest option\u2014for you, and your baby<\/span><\/h2>\n\n\n\n<p>There are certainly situations when staying on an SSRI during pregnancy is likely the safest option for you and your baby. If you have severe depression with suicidal ideation, history of multiple severe relapses after going off SSRIs, psychotic symptoms or complete loss of functioning, previous psychiatric hospitalization, or failed attempts at non-pharmological treatment, SSRIs during pregnancy may be literally life-saving for the both of you. And, as we discussed in Part I, evidence is conflicting around whether SSRI exposure truly poses measurable harm to a developing baby.\u00a0\u00a0<\/p>\n\n\n\n<p>Given the uncertainty, however, some women (especially those with \u201cmilder\u201d conditions than those listed above) may want to know what other options exist for managing mental health during pregnancy. In this article, we\u2019ll look at tapering off medication, what withdrawal looks like, and alternatives to SSRIs.&nbsp;<\/p>\n\n\n\n<p>As always, nothing in this article should be construed as medical advice, or as fear-mongering around SSRIs and other mental health therapies. Our goal at Natural Womanhood is to present women with the best information possible, so they can make empowered, informed decisions about their own health and pregnancies.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-the-tapering-timeline-you-might-not-know-about\"><span id=\"the-tapering-timeline-you-might-not-know-about\">The tapering timeline you might not know about<\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-before-pregnancy\"><span id=\"before-pregnancy\">Before pregnancy<\/span><\/h3>\n\n\n\n<p>If you\u2019re a safe candidate for attempting to discontinue antidepressant use, here&#8217;s what your doctor might tell you: &#8220;You can taper off over 2-4 weeks.&#8221; Here&#8217;s what the research actually shows, however: most people require <a href=\"https:\/\/www.outro.com\/blog\/ssri-taper-schedule\" target=\"_blank\" rel=\"noreferrer noopener\">6-12 months or longer<\/a> to completely discontinue SSRIs using gradual methods. That extended timeline typically results in more tolerable symptoms and higher success rates, but it means that if you think you might want to be antidepressant-free while pregnant, you need to start planning well <em>before<\/em> you start trying to conceive.<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>Most people require 6-12 months or longer to completely discontinue SSRIs using gradual methods. That extended timeline typically results in more tolerable symptoms and higher success rates, but it means that if you think you might want to be antidepressant-free while pregnant, you need to start planning well <em>before<\/em> you start trying to conceive.<\/p><\/blockquote><\/figure>\n\n\n\n<p>Safe tapering requires:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Medical supervision by a medical professional experienced in antidepressant discontinuation (and not all psychiatrists specialize in this)<\/li>\n\n\n\n<li>&#8220;Hyperbolic&#8221; dose reductions (proportional decreases) rather than linear cuts<\/li>\n\n\n\n<li>Accounting for the medication&#8217;s half-life. Paroxetine and venlafaxine are particularly difficult to discontinue<\/li>\n\n\n\n<li>Adjustment based on individual response<\/li>\n\n\n\n<li>Monitoring to distinguish withdrawal from relapse<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-if-you-re-already-pregnant\"><span id=\"if-youre-already-pregnant\">If you&#8217;re already pregnant<\/span><\/h3>\n\n\n\n<p>If you\u2019re already pregnant and want to taper off your SSRI, you still need to do so gradually and under medical guidance. Abrupt discontinuation risks severe withdrawal and relapse.&nbsp;<\/p>\n\n\n\n<p>Starting earlier in pregnancy may be best: research <a href=\"https:\/\/womensmentalhealth.org\/posts\/many-continue-recommend-tapering-ssri-antidepressants-third-trimester\/\" target=\"_blank\" rel=\"noreferrer noopener\">suggests<\/a> that tapering SSRIs in late pregnancy doesn&#8217;t reduce neonatal adaptation syndrome, and may increase maternal relapse risk. Many experts recommend continuing at your effective dose through delivery rather than tapering at this stage.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-ssri-withdrawal-vs-depression-relapse\"><span id=\"ssri-withdrawal-vs-depression-relapse\">SSRI withdrawal vs. depression relapse<\/span><\/h2>\n\n\n\n<p>Whether you\u2019re already pregnant or considering pregnancy and want to begin tapering off your SSRI, the distinction between SSRI withdrawal symptoms and true depression relapse is important to understand. Some women may unnecessarily restart medication because they mistake withdrawal for the return of depression.<\/p>\n\n\n\n<p><strong>Withdrawal symptoms<\/strong> typically emerge within days of dose reduction and include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>&#8220;Brain zaps&#8221; or electric shock sensations (distinctive to withdrawal)<\/li>\n\n\n\n<li>Dizziness and vertigo<\/li>\n\n\n\n<li>Flu-like symptoms<\/li>\n\n\n\n<li>Sensory disturbances<\/li>\n\n\n\n<li>Rapid onset right after dose change<\/li>\n<\/ul>\n\n\n\n<p><strong>Depression relapse<\/strong> typically develops more gradually:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Persistent low mood<\/li>\n\n\n\n<li>Loss of interest in activities<\/li>\n\n\n\n<li>Changes in sleep and appetite<\/li>\n\n\n\n<li>Negative thought patterns<\/li>\n\n\n\n<li>Gradual worsening over weeks<\/li>\n<\/ul>\n\n\n\n<p>Having a healthcare professional guide you through the SSRI tapering process who understands this distinction isn&#8217;t just helpful\u2014it&#8217;s essential.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-non-pharmaceutical-options-for-improving-mental-health\"><span id=\"non-pharmaceutical-options-for-improving-mental-health\">Non-pharmaceutical options for improving mental health<\/span><\/h2>\n\n\n\n<p>For women seeking alternatives or additions to medication, the following is a list of what the evidence supports\u2014and each offers benefits for women who are already pregnant, as well as women who are considering pregnancy.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-psychotherapy\"><span id=\"psychotherapy\">Psychotherapy<\/span><\/h3>\n\n\n\n<p>Cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT) have shown effectiveness for perinatal depression comparable to medication in some studies [2]. In the UK and Canada, these are considered first-line treatments. The catch? Access can be challenging, wait times are long, and these work best for mild to moderate depression rather than severe cases. But if you have access to quality therapy, it&#8217;s worth prioritizing.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-nutrition\"><span id=\"nutrition\">Nutrition<\/span><\/h3>\n\n\n\n<p><a href=\"https:\/\/naturalwomanhood.org\/omega-3-fertility\/\" target=\"_blank\" rel=\"noreferrer noopener\">Omega-3<\/a> fatty acids (EPA and DHA), <a href=\"https:\/\/naturalwomanhood.org\/how-vitamin-d-affects-fertility-and-pregnancy\/\" target=\"_blank\" rel=\"noreferrer noopener\">vitamin D<\/a>, B vitamins, and <a href=\"https:\/\/naturalwomanhood.org\/what-does-magnesium-do-for-the-body\/\" target=\"_blank\" rel=\"noreferrer noopener\">magnesium<\/a> have been <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26359904\/\" target=\"_blank\" rel=\"noreferrer noopener\">studied <\/a>for mood support during pregnancy [2]. The research quality is mixed, and effects are generally modest compared to medication or therapy. But each of these supplements is a low-risk addition that may help, especially for mild symptoms.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-movement-and-light\"><span id=\"movement-and-light\">Movement and light<\/span><\/h3>\n\n\n\n<p>Regular physical activity and <a href=\"https:\/\/naturalwomanhood.org\/podcast\/nw-podcast-s4ep11-red-light-therapy-photobiomodulation\/\" target=\"_blank\" rel=\"noreferrer noopener\">natural sunlight<\/a> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24935560\/\" target=\"_blank\" rel=\"noreferrer noopener\">can support<\/a> mood naturally [3]. Exercise has demonstrated antidepressant effects and may help prevent relapse during medication tapering. Neither physical activity nor sunlight are a cure-all, but both are accessible and <a href=\"https:\/\/naturalwomanhood.org\/core-exercises-pregnancy\/\" target=\"_blank\" rel=\"noreferrer noopener\">beneficial for other pregnancy outcomes<\/a>, too.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-addressing-root-causes\"><span id=\"addressing-root-causes\">Addressing root causes<\/span><\/h3>\n\n\n\n<p>For some women, <a href=\"https:\/\/naturalwomanhood.org\/what-fertility-charting-is-telling-me-about-thyroid-problems\/\" target=\"_blank\" rel=\"noreferrer noopener\">thyroid issues<\/a>, <a href=\"https:\/\/naturalwomanhood.org\/low-progesterone-is-a-big-problem-pms-pmdd-infertility-miscarriage-postpartum-depression-2020\/\" target=\"_blank\" rel=\"noreferrer noopener\">low progesterone<\/a>, or <a href=\"https:\/\/naturalwomanhood.org\/metabolic-syndrome-fertility\/\" target=\"_blank\" rel=\"noreferrer noopener\">blood sugar imbalances<\/a> contribute to mood symptoms. These are worth evaluating, though they represent specific medical conditions rather than alternatives to treating clinical depression.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-community-purpose-and-connection\"><span id=\"community-purpose-and-connection\">Community, purpose, and connection<\/span><\/h3>\n\n\n\n<p>Here&#8217;s something we don&#8217;t talk about enough: isolation worsens mental health, while belonging and community strengthen resilience. Social connection, spiritual practices, and finding purpose can provide support that addresses dimensions of wellbeing beyond biology. Like everything else listed above, these aren&#8217;t replacements for treatment when you need it, but they&#8217;re powerful additions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-the-bottom-line-on-ssris-in-pregnancy-informed-consent-and-patient-s-choices-matter\"><span id=\"the-bottom-line-on-ssris-in-pregnancy-informed-consent-and-patients-choices-matter\">The bottom line on SSRIs in pregnancy: Informed consent and patient\u2019s choices matter<\/span><\/h2>\n\n\n\n<p>In Dr. Urato\u2019s <a href=\"https:\/\/rxisk.org\/antidepressants-and-pregnancy-adam-urato\/\" target=\"_blank\" rel=\"noreferrer noopener\">statement to the FDA<\/a> (<a href=\"https:\/\/naturalwomanhood.org\/ssris-pregnancy\/\" target=\"_blank\" rel=\"noreferrer noopener\">discussed in Part I<\/a>), he mentioned that &#8220;A big part of compassionate care is giving patients the proper information about risks and benefits of treatment, and then supporting their choices.\u201d He notes, &#8220;over the years I&#8217;ve seen more and more medication use in pregnancy, and I think that pregnant women and the public aren&#8217;t being properly informed on this issue, particularly with SSRI antidepressants.&#8221;<\/p>\n\n\n\n<p>Every woman deserves the full picture before making decisions that could affect her health and her baby&#8217;s development. That means acknowledging the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>No medication is without risk, and the evidence on SSRIs shows both potential risks and significant uncertainties<\/li>\n\n\n\n<li>The absolute risks of most adverse outcomes remain relatively small (understanding the difference between &#8220;doubled risk&#8221; and actual risk matters enormously)<\/li>\n\n\n\n<li>Untreated maternal depression also carries significant, measurable risks<\/li>\n\n\n\n<li>Stopping SSRIs suddenly can be genuinely dangerous, and proper tapering takes time<\/li>\n\n\n\n<li>The decision to begin or discontinue SSRI treatment depends on your specific situation: depression severity, treatment history, support systems, and personal risk tolerance<\/li>\n<\/ul>\n\n\n\n<p>A frank discussion around the nuances of SSRI treatment during pregnancy doesn&#8217;t deny that these medications can sometimes be helpful\u2014or even necessary. Rather, it seeks to promote fuller transparency about what we know and don&#8217;t know about their use in pregnancy. It likewise points out that the current gaps in research serve no one\u2014whether it\u2019s women, their doctors, or their babies. Women deserve access to this information, as well as access to both pharmaceutical and non-pharmaceutical approaches, supported by honest information about risks, benefits, and uncertainties.<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>A frank discussion around the nuances of SSRI treatment during pregnancy doesn&#8217;t deny that these medications can sometimes be helpful\u2014or even necessary. Rather, it seeks to promote fuller transparency about what we know and don&#8217;t know about their use in pregnancy. It likewise points out that the current gaps in research serve no one\u2014whether it\u2019s women, their doctors, or their babies. <\/p><\/blockquote><\/figure>\n\n\n\n<p>When women are trusted with complete information and supported with comprehensive care options, they can make informed decisions that honor both their mental health needs and their baby&#8217;s development. This is what truly ethical and holistic pregnancy care looks like.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-references\"><span id=\"references\">References<\/span><\/h4>\n\n\n\n[1] Cuijpers P, Sijbrandij M, Koole SL, Andersson G, Beekman AT, Reynolds CF 3rd. Adding psychotherapy to antidepressant medication in depression and anxiety disorders: a meta-analysis. World Psychiatry. 2014 Feb;13(1):56-67. doi: 10.1002\/wps.20089. PMID: 24497254; PMCID: PMC3918025.&nbsp;<\/p>\n\n\n\n[2] Sarris J, Logan AC, Akbaraly TN, Amminger GP, Balanz\u00e1-Mart\u00ednez V, Freeman MP, Hibbeln J, Matsuoka Y, Mischoulon D, Mizoue T, Nanri A, Nishi D, Ramsey D, Rucklidge JJ, Sanchez-Villegas A, Scholey A, Su KP, Jacka FN; International Society for Nutritional Psychiatry Research. Nutritional medicine as mainstream in psychiatry. Lancet Psychiatry. 2015 Mar;2(3):271-4. doi: 10.1016\/S2215-0366(14)00051-0. Epub 2015 Feb 25. PMID: 26359904.&nbsp;<\/p>\n\n\n\n[3] Daley AJ, Foster L, Long G, Palmer C, Robinson O, Walmsley H, Ward R. The effectiveness of exercise for the prevention and treatment of antenatal depression: systematic review with meta-analysis. BJOG. 2015 Jan;122(1):57-62. doi: 10.1111\/1471-0528.12909. Epub 2014 Jun 17. PMID: 24935560.&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"Deuxi\u00e8me partie de notre s\u00e9rie sur la s\u00e9curit\u00e9 des ISRS pendant la grossesse","protected":false},"author":141,"featured_media":24456,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5185,5352],"tags":[3636,3635,4452],"class_list":{"0":"post-24455","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-pregnancy-childbirth","8":"category-pregnancy-health","9":"tag-anxiety","10":"tag-depression","11":"tag-pregnancy","12":"cs-entry","13":"cs-video-wrap"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Can you safely taper off or stop an SSRI during pregnancy?\u00a0 - Natural Womanhood<\/title>\n<meta name=\"description\" content=\"In this article, we&#039;ll dive into what your options are if you\u2019re considering pregnancy or are already pregnant and on an SSRI.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/naturalwomanhood.org\/fr\/stop-ssris-pregnancy\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Can you safely taper off or stop an SSRI during pregnancy?\u00a0\" \/>\n<meta property=\"og:description\" content=\"Part II of our series on the safety of SSRIs in pregnancy\" \/>\n<meta property=\"og:url\" content=\"https:\/\/naturalwomanhood.org\/fr\/stop-ssris-pregnancy\/\" \/>\n<meta property=\"og:site_name\" content=\"Natural Womanhood\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NaturalWomanhood\" \/>\n<meta property=\"article:published_time\" content=\"2026-06-04T13:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/naturalwomanhood.org\/wp-content\/uploads\/AdobeStock_386900018-scaled.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1649\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Johanna\u00a0 Duncan\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@naturwomanhood\" \/>\n<meta name=\"twitter:site\" content=\"@naturwomanhood\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johanna\u00a0 Duncan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/naturalwomanhood.org\/stop-ssris-pregnancy\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/naturalwomanhood.org\/stop-ssris-pregnancy\/\"},\"author\":{\"name\":\"Johanna\u00a0 Duncan\",\"@id\":\"https:\/\/naturalwomanhood.org\/#\/schema\/person\/4c8fed62a3c710990ef73cd38a81f188\"},\"headline\":\"Can you safely taper off or stop an SSRI during pregnancy?\u00a0\",\"datePublished\":\"2026-06-04T13:00:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/naturalwomanhood.org\/stop-ssris-pregnancy\/\"},\"wordCount\":1537,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/naturalwomanhood.org\/#organization\"},\"image\":{\"@id\":\"https:\/\/naturalwomanhood.org\/stop-ssris-pregnancy\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/naturalwomanhood.org\/wp-content\/uploads\/AdobeStock_386900018-scaled.jpeg\",\"keywords\":[\"Anxiety\",\"Depression\",\"pregnancy\"],\"articleSection\":[\"Pregnancy &amp; 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She works full-time supporting women facing unplanned pregnancies and is a graduate of Ave Maria University. In the past few years, Johanna has become deeply interested in understanding the beauty and complexity of the female body, both through her work at the pregnancy center and her own journey navigating hormonal imbalances and combating ovarian cysts. 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