###Human: Experiencing relapse of severe anxiety since past 3 months. I am 24 weeks pregnant with my first baby. ###Assistant: Hi. We understand your problem. The symptoms that you have told fit into generalized anxiety disorder with depressive symptoms. You had treatment in the past, and you were better with that. This time because of your pregnancy, things are not that straightforward. Still in my opinion, after evaluating risk and benefit, you should have both medications and psychotherapy. Initially, you can try tablet Clonazepam (Clonotril 0.25 mg twice daily). It is low dose only and safer after 3 months of pregnancy. Also, you should have your thyroid function and CBC test done. You can take an appointment for sessions, in which we can have detailed evaluation and management. Just remember you became better last time and this time also you will be better soon.