Clinical ControversiesAntidepressants, Pregnancy, and Stigma How We Are Failing Mothers and BabiesOsborne, Lauren M. MD; Payne, Jennifer MDAuthor Information Women’s Mood Disorders Center, The Johns Hopkins University School of Medicine, Baltimore, MD. Send reprint requests to Lauren M. Osborne, MD, Women’s Mood Disorders Center, The Johns Hopkins University School of Medicine, 550 N Broadway, Suite 305, Baltimore, MD 21205. E-mail: [email protected]. The Journal of Nervous and Mental Disease: March 2015 - Volume 203 - Issue 3 - p 164-166 doi: 10.1097/NMD.0000000000000257 Buy Metrics Abstract There is considerable public debate over the use of antidepressants in pregnancy. In this article, we offer a commentary on Gail Robinson’s important overview of the current controversies. Dr Ronbinson gives a thorough review of the literature, including the risks posed by both antidepressants and depression itself. We summarize her arguments and point out that, in the public conversation, the risks posed to a fetus from antidepressants are consistently overestimated while the risks of untreated depression are consistently underestimated because of the pervasive stigma against mental health. We review recent lay media analyses and urge our fellow physicians to make decisions about prescribing in pregnancy on the basis of evidence and individual patient needs rather than media and stigma. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.