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It is important that health professionals treating fertile women with a psychiatric disease discuss whether psychotropic drugs are needed during pregnancy and how it has to be administered.

The etiology of major depressive disorder (MDD) is characterized by complex interactions between genetic, biological, and environmental factors (Saveanu & Nemeroff, 2012). Patients with MDD often have gastrointestinal disturbances, such as abdominal pain, cramping, bloating, diarrhea, and/or constipation (Walker et al., 1992). A direct causative link between the gastrointestinal disturbances and MDD has not yet been established, but the gut microbiota has been suggested to be involved, though its role not yet fully elucidated (