<s>[INST] Hi doctor, I have a history of depression and use Prozac or its generic in my twenties but stopped in my thirties. Then I became quite depressed after my first child and used Serdep for a period of time. After 2 years I stopped using it and felt great up until recently, (I used Vitality from Nu Skin and it worked) but the last few weeks I have been considering starting again because of my state of mind lately. We are also planning a second child soon and I want to know what can I use that is safe during pregnancy, because Vitality is not recommended? I am 40 already so time is running out for me to have another baby but I am so scared of post natal depression and the sleep deprivation that I had with my first. I feel I don t even have enough energy to get out of the bed sometimes let alone take care of a toddler of 3 and a baby. Please help! Thank you, Cecile [/INST] Degree understand your concerns went through your details. I suggest you not to worry much.  I can understand your emotions and problems you are facing. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. </s>