Dr. Gerard Burke:

We deal with psychiatrists all the time when discussing medication for patients suffering from depression or more serious illnesses. We have a working relationship with them.

I agree with the institute that the threat of suicide is a very serious matter but it would be a very unusual situation. As I have said before, most of us will never encounter such a request. I agree with the institute that we should have two obstetricians to discuss this matter in detail with a psychiatrist. It is a very big deal and we would give it a great deal of thought.