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Hypothyroidism and Psychiatry

This document discusses psychiatric illness in hypothyroidism. It begins with an outline stating it will cover the historic notes on the topic, what is normal and hypothyroidism, psychiatric symptoms, lab investigations, and treatment. It then defines hypothyroidism as a decrease in thyroid hormone or its action, which can be primary or central. Primary hypothyroidism can be due to loss of the thyroid gland, compensatory hypertrophy, or defective hormone biosynthesis. While most cases are idiopathic, others are due to iodine deficiency, drugs, or autoimmune disorders. Hypothyroidism occurs more in women than men and generally onset is insidious, though it can cause physical and mental

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50 views31 pages

Hypothyroidism and Psychiatry

This document discusses psychiatric illness in hypothyroidism. It begins with an outline stating it will cover the historic notes on the topic, what is normal and hypothyroidism, psychiatric symptoms, lab investigations, and treatment. It then defines hypothyroidism as a decrease in thyroid hormone or its action, which can be primary or central. Primary hypothyroidism can be due to loss of the thyroid gland, compensatory hypertrophy, or defective hormone biosynthesis. While most cases are idiopathic, others are due to iodine deficiency, drugs, or autoimmune disorders. Hypothyroidism occurs more in women than men and generally onset is insidious, though it can cause physical and mental

Uploaded by

smk9584
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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PYSCHIATRIC ILLNESS in

HYPOTHYROIDISM
-By Dr. SHRUTHI.M.K

PLAN OF PRESENTATION
Historic notes

Normal
Hypothyroidism
Psychiatric symptoms
Lab investigations
Treatment

Historic notes

Hypothalamo-Pitutary-Thyroid
Axis

HYPOTHYROIDISM
Decrease in Throid hormone or its action leads to

hypothyroidism.
It can beprimary - 95% of cases
central (cause in
Hypothalamus/Pitutary)

Primary hypothroidism can be due to

loss/atrophy of throid gland


compensatory gland hypertrophy
secondary to defective hormone biosynthesis.
Though most of the cases are Idiopathic,
some are Iatrogenicsurgical/radioiodine treatment of
hyperthyroidism
excess of anti-thyroid drugs
various drugs (ex-Lithium)
Others causes include Iodine deficieny, autoimmune disorders

The disorder can occur at any age though the risk

increases with age. It is 10 times more common


with women than men.
Generally onset is insidious (excepti in
chemical/surgical ablation of gland).
In children, it may be associated with irreverisble
physical and mental retardation. In adults, physical
and mental changes are almost always correctable
with hormone replacement therapy.

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