Think of hypothyroidism with females usually with these symptoms and get a TSH. Slowing of thought processes,and speech, decreased attentiveness, poor concentration, decreased interest on others.This can be confused with a primary mood disorder. Hypothyroidism can induce a melancholic disorder.
With crying, loss of appetite constipation,insomnia, delusions of self reproach, and even suicide. Others have severe anxiety. Rare cases have agitation, leading to frank psychosis. Symptoms include anger fearlessness, paranoia, and auditory and visual hallucinations. Although most mental symptoms clear on fully replaced thyroid hormone some effects may still be present.
Myths About Hypothyroidism
Misuse of Thyroid Hormone Treatment
Thyroid hormone has a shady history of inappropriate uses in the past. Throughout the 50s, 60s and 70s overweight or obese women were given physician prescribed thyroid hormone as a weight loss drug. They were told it would speed their metabolism and help loss the excess weight. The use of T4 for other non-FDA uses is called off-label use. This requires a consent by the patient that they are taking a drug that has only one FDA approved use.
Weight clinics run by so called “fat doctors” caused many patients to become thyrotoxic and many chronically were not treated imperiling their lives. As an intern I saw an obese teenager die of uncontrolled heart rhythm due to “rainbow pills” including thyroid, amphetamines digoxin and barbiturates.
Weight loss supplements can have active thyroid hormones even though no script is needed as it is not regulated by the FDA. Also weight loss supplements that claim you can eat all you want and still lose weight. As the first hormone available for treatment, it was used for everything including infertility.
Symptoms of an underactive thyroid (Hypothyroidism):
- You have gained weight whilst eating and exercising normally
- You are always exhausted, even if you’re not sleep deprived
- Your mood is consistently low or you feel unusually depressed
- Your skin is dry and itchy or your nails are brittle
- You are constipated
- You have muscle aches and cramps
- Your brain feels slow and fuzzy
- Your periods are heavy, last longer and cramps are more intense
- You’ve lost interest in sex
- You feel the cold
Symptoms of an overactive thyroid (Hyperthyroidism):
You feel anxious, irritable and nervous
You are restless or feel hyperactive
You feel tired and weak
Your appetite has increased but you haven’t gained weight
You have heart flutters or palpitations
Your periods are very light or infrequent
Your feel hot and sweaty
You need the toilet more often
You’ve lost interest in sex
If you are diabetic – related symptoms like excessive thirst are worse