Pregnant and scared to tell midwife I'm feeling worse

[wrigglytoes]

I was on a high dose of duloxetine before I got pregnant, they said it was fine for me to continue taking it. I'm due my second antenatal appointment with a midwife who specialises in mh. I can feel myself spiralling, self hatred and withdrawal. I'm scared to admit this. What would she do? I was told before I got pregnant that there is nothing else they can do for me medication wise as I have tried all the available ad's and this was a last resort. Should I just keep quiet?

Please don't keep quiet, it may be some therapy or otherwise could help, maybe even just having someone from the perinatal mental health team to talk to?
Hormones will affect your mood, and just because there aren't other medications they can try doesn't make it a hopeless case. You deserve all the support you need for you and baby and in my experience midwives are happy to support you if you can tell them the problem

Please tell them.
Be honest, they will have heard this before.
It's so important that you access all the help you can.
It's ok to say you don't feel good

you've got nothing to lose by admitting you are finding things hard. There are other forms of support as well as medication.