That is not what the AAP recommendation means. It does not mean that the mother should wean if she is put on those medications. That would have put those drugs in the "contraindicated" category. What that means is the risk:benefit needs to be carefully thought out. I think the concern is real, but that the AAP is too cautious. There are several drugs which are compatible with breastfeeding for the treatment of depression. Two are sertraline (Zoloft) and paroxetine (Paxil). Jack Newman, MD, FRCPC