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23 Jul 2010

second pregnancy
Hi Doc,My friend has a baby of less than two years and she is now 4 moths pregnant with her second child she recently got married.she hates the second preganancy as she is not ready she nearly aborted she cries when she talks about it what can she do to get help or how can i help her?no one knows except her husband(who is excited and shes not in speaking terms with him for more than a month).please help!
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Expert
CyberShrink
cybershrink

01 Jan 0001

She sounds confused, firstly, as to what she actually wants and how to organize her life, and also posibly depressed. Maybe she's blaming her husband ( is he the father of the first child, too ? ) for the pregnancy, but it still requires two people to make a baby, and she must have been an active participant. To sulk and refuse to talk to her husband is unfair, and no way to try to solve whatever problems she feels face her now.
She should see a counsellor and at least a GP to asses whether she has a depression needing treatment. While she is pregnant, it may be best for the treatment to be primarily by CBT style counselling, though a psychiatrist could assess the relative risks and consider whether a carefully chosen antidepressant drug might be needed, too
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