Hi there. I just wanted to tell you that I am basically going through what you are talking about right now. I have had panic disorder for as long as I can remember. I am 27 now, and I am just starting my 8th week of pregnancy. One of my biggest concerns, other than the health of the baby, was what would I do about morning sickness and panic disorder? I hate vomiting enough that I'd seriously cut off my arm to never have to puke again. Unfortunately, whenever I get panic attacks, I wretch! And then I a, so scared of it happening again, that the whole "panic cycle" starts. I've been on 20 mg of Lexapro for about 6 years, and I was told to continue it through pregnancy. I hadn't had any attacks on it for almost a year, but they started up again when I got pregnant. I'm not sure if the hormones caused this, but I think it is a factor. Plus, the morning sickness can be difficult, and it kind of "triggered" my panic again I think. If you find yourself pregnant, and in a similar situation, there are steps you can take. Continuing the medication can help, though it doesn't necessarily prevent the anxiety (b/c of how much your body chemistry changes during pregnancy.) Some people play with upping the dosage of meds, but I am doing my best to avoid that at this point. Also, certain benzodiazapines, when used in moderation, can be okay (check with your doc.) In addition, breathing exercises, brisk walks, and eating little snacks throughout the day can make things a bit more bearable. For nausea, ginger sometimes helps, as well as lemon. I am battling this right now, so this is the most honest I can be about my situation. Remember, not every woman experiences morning sickness. Also, the severity varies, as well as the duration. Best of luck to you, and feel free to contact me any time. I hope this helped a bit!
Nothing sounds silly to us, we've been there! I know there are medications that pregnant women can take, but I'm not qualified to say what they are. Plus, you truly want the advice of your psych and OB docs on this. Some women don't experience morning sickness, but that doesn't mean you won't. If you haven't tried therapy this is definitely the time to do it. You can learn coping skills to better deal with your fear. Take care.
Have you talked with your OB about this? I know medication is a personal choice and you are definitely doing the right thing by asking about it in advance.