There are many pregnant women in pregnancy and postpartum, due to endocrine changes in the body, resulting in changes in psychological mood, symptoms of anxiety and depression; there are also some women who are already suffering from anxiety and depression being treated, due to the long treatment cycle, the age of the older, out of the anticipation of pregnancy, often interrupt the treatment on their own. Such cases are very common in clinical practice and are often difficult areas for treatment. In the face of such a special group, we need to figure out a few problems in the understanding, in order to be able to do a good job and targeted solutions. 1, has received anti-anxiety depression treatment how to do? For older women suffering from anxiety and depression are receiving treatment, should actively cooperate with the treatment, complete the course of treatment, such as the gradual withdrawal of medication and then pregnant, because after treatment, you are already a normal human body, full of spirit, all kinds of physical discomfort has been eliminated, at this time the success rate of conception is high, the fetal development is also the most ideal, and also no longer take medication to cause fetal abnormalities of the trouble. 2, anxiety and depression during pregnancy how to do? Anxiety and depression during pregnancy, if not timely intervention, will affect the health of the mother, easy to complicate such as hypertension, diabetes, hyperthyroidism and other diseases and palpitations, loss of appetite, insomnia and other symptoms, further affecting the quality of fetal development during pregnancy. However, if you choose to treat, the teratogenic risk produced by the drug in question cannot be ignored, and it is a dilemma for both the pregnant woman and the doctor. While a number of foreign studies have found that antidepressants may cause fetal heart defects, preterm labor, low birth weight, or the risk of skull base malformations, other studies have been able to demonstrate that the use of medications may instead reduce the risk of preterm labor or cesarean delivery. According to the 2010 edition of the American Psychiatric Association’s (APA) guidelines for the treatment of depression, suggests that SSRIs can still be used as a Class C option for single-agent use, with the exception of paroxetine, which is listed as a Class D recommendation for use due to the possibility of fetal heart malformations. In addition, psychotherapy should be used as first-line treatment in conjunction with medication. Therefore unauthorized discontinuation of medication due to pregnancy is not advisable and may lead to a threefold increase in the risk of relapse rate of anxiety and depression. The choice of treatment plan needs to be made in consultation between the specialist and the obstetrician. 3.What should I do if I am anxious or depressed during breastfeeding? For anxiety and depression during postpartum breastfeeding, the patient’s concern about infant teratogenicity is often not significant, but rather the toxic side effects of the drug acting directly on the baby through breast milk. According to some foreign scholars, when a mental condition arises that requires treatment, the benefits of the medication will far outweigh the risks of the medication. The APA also suggests that mothers can breastfeed and treat at the same time; after all, breastmilk improves the immunity of newborns. In the face of China’s national conditions, of course, you can choose to choose for the less severe symptoms can only choose psychotherapy temporarily do not take medication, adhere to breastfeeding; for the more severe symptoms choose to take medication while breastfeeding, or terminate the breastfeeding choice of drug therapy, after all, the mother’s mental health is also very important. In summary, although the occurrence of anxiety and depression does not choose the timing, or women can not choose to be pregnant and breastfeeding or get sick, but when such a situation occurs, if you master this knowledge, bring more or hope rather than disappointment, to take the countermeasures should be more flexible rather than simple treatment.