Hi,

It's great that you are working on a plan and asking questions.

Find a ob/gyn who specializes in high risk pregnancies. This person will be up to date on meds and other treatment options. Make sure that this ob will work very closely with your pdoc.

Sometimes timing is important. Sometimes the ob and pdoc will put their pregnant patients on meds after the first trimester (for example).
Sometimes they want to put the mothers back on meds the first day after delivery.

I agree with Waves that you need to find ways to increase the importance of sleep in your life. You might want to plan to get help in the home during the pregnancy and more after the pregnancy.

How old is your first child?

Also, go to the psych central forums. They are busy.

M