Depression and Pregnancy?

I am incredibly depressed at 5 months pregnant. My youngest son has started a very intensive behavior therapy for Autism which is quite taxing on me and my marriage is failing for completely unrelated issues (mostly my husband lacking sex drive). I know I need to do something and I've set up some counseling sessions but I'm thinking I may need more than that. Anyone here had to start an antidepressant while pregnant? I'm trying to nip this in the bud as I've suffered from severe PPD with a previous pregnancy. Help?

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