Hi there....I too had OCD/anxiety problems during pregnancy. Can I ask how far along in your pregnancy did you start the celexa and go back on the ativan?
I was about 11 weeks when I started on the lorazapam(ativan) and celexa. They were prescribed at the same time. . I only lasted on the celexa for about a week and a half. but continued on the ativan. Did you take anything while your were pregnant??
For my first pregnancy I made it to about 3.5 months before I started taking medication. I took Klonopin as sparingly as I could and I took Prozac. I don't remember taking the klonopin for very long and certainly not the entire rest of the pregnancy. The prozac was a low dose....I want to say 10 or 20 mg but honestly it was so long ago I can't remember. I tried very hard not to take the klonopin though.
I then stayed on Prozac in between my children and the entire time I was pregnant with my second son. I didn't breast feed either one of them because of the meds in my body. My children are 18 and 16 and so back then there really wasn't a lot of research about these meds and pregnancy. The idea during the first pregnancy was to make it to the 3 month mark because prior to that is when the baby is forming everything. My OCD was so bad with the first pregnancy that I just went for it the second time around thinking that the benefits of meds did outweigh the harmful effects of OCD and anxiety. I wasn't eating, sleeping, etc during the first 3 months of the first pregnancy and so that certainly wasn't going to help the baby.
I think with anything, there is a risk but I'm not sure that it is that much higher than the regular population. When you look at the literature, you see a study that says there is a risk for malformation but then you see another study that contradicts that one. It is all very confusing.
In my mind the anti-depressant may be better than the benzodiazepine but you need to discuss this with your doctor. Maybe try a different one if celexa was not working for you.
In the end I can tell you that my children are fine. My first son was small...6 pounds 9 ounces but he did come 3 weeks early. Other than that he was fine. My second son was 8 pounds something and he came 2 weeks early. He has ADHD but I don't think that is a side effect of the medication I took but rather my genetic makeup along with my husbands. For both, no breastfeeding.
I want to tell you so very badly not to worry about it. I think your doctor is right and that sometimes the pros of the meds outweigh the cons of the anxiety. At least in my case this was true. But in the end, I think we do the best we can and we deal with whatever happens.