I’m curious, or it’s my theory, that if the MG flares up, perhaps I don’t absorbe my thyroid medications correctly, and that’s why I go crazy with an MG flare up, or maybe not, I dunno, it’s my theory of the day
here’s how to be mentally ill on thyroid meds
Is the thyroid causing your patient’s symptoms?
Vol. 5, No. 11 / November 2006
Thomas D. Geracioti, Jr, MD
Research service, Cincinnati Veterans Affairs Medical Center,
department of psychiatry, University of Cincinnati College of Medicine
Hypothyroidism—even when occult or subclinical—can
cause subtle or frank changes in energy, mood, anxiety level, or
cognition. Some patients’ affective symptoms remit with thyroid hormone
replacement or with antidepressants only after a euthyroid state is
To help you recognize hypothyroidism in patients
presenting with psychiatric illnesses and provide effective treatment,
this article describes:hypothyroidism’s signs and symptoms
primary and subclinical hypothyroidism, thyroiditis, central hypothyroidism, and thyroid hormone resistance
laboratory screening for thyroid dysfunction in patients with psychiatric symptoms.
Overlapping clinical signs
Thyroid hormone is required for the metabolic
activity of every cell in the body. When patients experience symptoms
related to abnormal functioning of the hypothalamic-pituitary-thyroid
axis (Figure), psychiatrists often are the first professionals they consult.
Diagnosis of thyroid disorders is based on biochemical and clinical data (Box 1),1
which might not be congruent. Clinical symptoms of hypothyroidism, for
example, are notoriously variable. Severe biochemical hypothyroidism may
be associated with mild clinical symptoms, whereas mild biochemical
hypothyroidism may be associated with severe symptoms.2
Patients with thyroid disturbance and psychiatric
symptoms most often are diagnosed with a depressive-spectrum syndrome.
Most common are:
atypical depression (which may present as dysthymia)
spectrum syndrome (including manic-depression, mixed mania, bipolar
depression, rapid-cycling bipolar disorder, cyclothymia, and
borderline personality disorder
or psychotic disorder (typically paranoid psychosis).
Psychiatric symptoms of hypothyroidism (Table 1) are often prominent or even primary. Patients commonly show:
impaired attention, concentration, learning, and memory
and/or mental dullness.