### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 27 weeks pregnant (due april 14th) and I use to take antidepressants after my daught was born in july 2010 but I only stayed on them for a short while. I am now feeling like i may be suffering from depression again. can you tell me whats going on. I have trouble sleeping, tossing and turning and waking up all hours of the night. I cry for no reason somedays. I cant deal with things as well i use to for instance my sister brought her three children up for new years and the noisy made me feel so frustrated i was on the verge of crying. When i get too frustrated i either want to lie down and fall asleep or go on a cleaning spree. I do not feel suicidal or like i am going to harm my children or others but i do believe something is going on with me. Is it depression or pregnancy hormones?

### output:

Hi dear, I have gone through your question and I understand your concern. Hormonal changes can also make you feel more anxious than usual. Anxiety is another condition that can and should be treated during pregnancy. Depression and anxiety may go undiagnosed because women often dismiss their feelings, chalking them up to the temporary moodiness that often accompanies pregnancy. So don't be shy about letting your doctor or midwife know if you feel low. Your emotional health is every bit as important as your physical health. And in fact, it can affect your physical health. Risks of Untreated Anxiety and Depression During Pregnancy like Low birth weight premature birth (before 37 weeks). But by just Lifestyle modification you can avoid such situations, just feel well, avoid any stress, do activities which make you feel light and comfortable, if you don't feel happy while many peoples around you, or you are surrounded by loud noise then just avoid them, talk to people who are positive and to whom you love talking, watch television and talk with your close friends and take assistance if required, sharing your thoughts make you feel better so please don't shy to share them with your midwife for GP and if still not helpful then I will advise you to consult a qualified psychiatrist and to tell him about your anti depression medications which you were taking. Psychiatry counselling will help you well because you are not alone and most of the cases seen in pregnancy are benefited by it. Hope you find the answer helpful, please do get back for further queries I will be happy to assist you. Wishing your good health. Regards Chat Doctor. 