Link Between Hyperthyroidism and Mental Health Issues Explained

The association between hyperthyroidism and mental disorders?

Hello Doctor: A family member has hyperthyroidism (previously hypothyroidism).
I have noticed that they have become irritable and their speech is sometimes not fluent.
Is it that the mental health issues came first or the thyroid dysfunction? Does the endocrinology department handle both thyroid and mental health issues simultaneously, or should we consult neurology or psychiatry as well?

Wenjie, 40~49 year old female. Ask Date: 2016/04/07

Dr. Huang Weiqin reply Psychiatry

Hello, based on your description of your friend's emotions and behaviors, it is possible that they may be affected by thyroid function.
It would be advisable to first consult an endocrinologist for treatment.
If the psychiatric symptoms persist, it would be more appropriate for family members to accompany them for further evaluation and treatment by a psychiatrist.
Thank you for your inquiry.

Reply Date: 2016/04/07

More Info

Hyperthyroidism, or an overactive thyroid, can significantly impact mental health, leading to various psychological symptoms. The thyroid gland produces hormones that regulate metabolism, energy levels, and overall bodily functions. When these hormones are overproduced, it can lead to a range of physical and psychological issues.

In your case, the symptoms of irritability and difficulty in expressing thoughts can indeed be linked to hyperthyroidism. Individuals with hyperthyroidism often experience anxiety, mood swings, and irritability due to the excess thyroid hormones circulating in their system. This condition can also lead to cognitive difficulties, such as trouble concentrating or organizing thoughts, which may explain the communication issues you've observed.

To address your question about whether the mental health issues preceded the thyroid problem or vice versa, it can be a complex interplay. In some cases, individuals may have pre-existing mental health conditions that can be exacerbated by changes in thyroid function. Conversely, the onset of hyperthyroidism can trigger or worsen mental health symptoms. Therefore, it is essential to evaluate both aspects concurrently.

Regarding your inquiry about whether to consult an endocrinologist or a mental health specialist, it is advisable to start with an endocrinologist. They can assess the thyroid function through blood tests that measure levels of thyroid hormones (such as T3, T4, and TSH) and determine the appropriate treatment for hyperthyroidism. Treatment options may include medications, radioactive iodine therapy, or surgery, depending on the severity of the condition.

However, since mental health symptoms are also present, it would be beneficial to involve a mental health professional, such as a psychiatrist or psychologist, in the treatment plan. They can provide therapy and, if necessary, medication to help manage the psychological symptoms associated with hyperthyroidism. Many endocrinologists are aware of the psychological implications of thyroid disorders and may work collaboratively with mental health professionals to provide comprehensive care.

In summary, it is crucial to address both the thyroid condition and the mental health symptoms. Begin with an endocrinologist for a thorough evaluation of thyroid function. If mental health issues persist or worsen, seeking help from a mental health professional is essential. This integrated approach will ensure that both the physical and psychological aspects of your health are managed effectively, leading to better overall well-being.

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