What is the recommended initial approach to managing anxiety in pregnant patients?

Cognitive-behavioral therapy (CBT) is recognized as the recommended initial approach to managing anxiety in pregnant patients due to its evidence-based efficacy and safety profile. CBT focuses on identifying and modifying negative thought patterns and behaviors that contribute to anxiety, empowering patients to develop coping strategies without the use of medications. This therapeutic approach is particularly advantageous during pregnancy, as it minimizes the potential risks associated with pharmacological treatments, which are not fully understood in this population.

In pregnant patients, psychological interventions like CBT are preferred first-line treatments because they avoid the possible teratogenic effects of medications. Additionally, CBT can be delivered in individual or group settings and can include components such as relaxation techniques and mindfulness, which are beneficial for managing anxiety symptoms.

Choosing CBT aligns with best practices for providing holistic care that prioritizes both the mental health of the mother and the well-being of the fetus. Other options may involve medications or interventions that are more invasive or carry risks, making them less suitable for initial management, especially in sensitive populations like pregnant patients.