intermediateperinatalbreastfeedinganxietysertralinelactation-safetypanic-disorder
A 29-year-old woman presents to the PMHNP at four weeks postpartum with severe generalized anxiety disorder and panic attacks that have emerged since delivery. She is exclusively breastfeeding and considers this extremely important for bonding with her infant. She reports constant worry about her infant's health, difficulty sleeping even when the baby is asleep, persistent muscle tension, and three panic attacks per week with chest tightness and derealization. She has no prior psychiatric history. Her PHQ-9 score is 6 and her GAD-7 score is 18. She asks the PMHNP about the safety of psychiatric medications while breastfeeding. Which of the following most accurately reflects current evidence regarding this clinical scenario?