AvoidGeneral guidanceMental health and safety

Waiting with thoughts of harm or loss of contact with reality

Do not wait—use local emergency or crisis help and tell them that you are pregnant or recently pregnant.

Direct guidance

What to know or do

For “Waiting with thoughts of harm or loss of contact with reality,” use the lower-exposure choice instead of trying to cancel the exposure afterward. Do not stop prescribed mental-health medicine suddenly because of pregnancy; arrange prompt review with the prescriber.

What changes the answer

  • How long the change has lasted and how it affects sleep, eating, self-care and safety
  • Past diagnoses, trauma, treatment response, medicines and relapse warning signs
  • Privacy, practical support, coercion, immediate danger and who can stay with you

General guidance

When to get individual help

Choose a lower-risk alternative when possible. If the exposure already happened, record the product, amount, timing and symptoms and ask for advice instead of assuming harm.