I am a 21-year-old female set to graduate from college in May. I have been taking antidepressants since roughly my senior year of high school, so approximately four or five years. I have been on Xanax, Cymbalta, Effexor, Paxil and Wellbutrin. I am currently taking only the Paxil and Wellbutrin together (in conjunction with birth control pills, which I have been on since my freshman year of college). I just read your answer about the effectiveness and safety of taking antidepressants long term, and my question is this: Since I am fairly young, and may be taking antidepressants for several years, how do I transition when I marry and decide to have children? I know that Paxil can result in serious birth defects, but it is working very well for me. What would I do instead?