Pregnancy in psychiatric patients when they are not in complete remission during treatment, the patients are often taking higher doses of antipsychotics and are in the onset of the disease, which has a greater impact on the fetus, combined with the patient’s young age and good conditions for conception, it is more appropriate to terminate the pregnancy. If the patient is older and has difficulty conceiving again it should be fully explained to the patient that in such cases there is a high risk of fetal neurological and psychiatric dysplasia and a higher likelihood of psychiatric disorders. If termination of pregnancy is not possible, the patient should be treated with drugs that have less impact on fetal development, are more effective and have fewer side effects.