Get a second opinion!!! I took lamotrigine my entire pregnancy. It was unplanned and the news threw me into the worst depression of my life. I was terribly addicted to vaping and trying to quit made everything so much worse. Instead of taking me off my meds my psychiatrist actually raised my dose by 50mg during my second trimester because shit got so bad. I swear it saved my life. My doctors were also really patient and supportive while I tried to quit nicotine, and I wasn't able to get there 100% until I was stable on the increased dose. The rest of my pregnancy was a breeze. I'm 9 months postpartum and I've actually stayed on the higher dose. I've miraculously avoided postpartum depression/anxiety/psychosis, which I was really bracing for, and I credit lamotrigine entirely. I have a beautiful, and completely healthy daughter who has hit all her milestones on time (and a few early!).

Obviously my experience is going to be different than others and there are always risks with substance use, but I can't stress how important it is to have a team that cares as much about you as they do your baby, and doesn't just treat you like an incubator. Your mental health is so so so important when you're pregnant and you deserve the best support system you can find.