Book contents
- Mental Health, Diabetes and Endocrinology
- Mental Health, Diabetes and Endocrinology
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 An Introduction to Psychiatry in Endocrinology
- Chapter 2 Depression across Endocrine Disorders
- Chapter 3 Antipsychotic Medications and Metabolic Syndrome
- Chapter 4 ‘Diabulimia’, Diabetes and Eating Disorders
- Chapter 5 Disorders of the Hypothalamic–Pituitary–Adrenal Axis
- Chapter 6 Disorders of the Thyroid and Parathyroid
- Chapter 7 Psychological Factors Impacting on Endocrine Disorders and Self-Management and Medication-Taking Behaviour
- Chapter 8 Cognitive Impairment and Endocrine Conditions
- Chapter 9 Suicidal Ideation and Self-Harm
- Chapter 10 Obesity and Mental Health
- Chapter 11 Gender Incongruence
- Chapter 12 Anti-androgens in Forensic Psychiatric Settings
- Chapter 13 Service- and Setting-Related Challenges
- Index
- References
Chapter 6 - Disorders of the Thyroid and Parathyroid
Published online by Cambridge University Press: 14 October 2021
- Mental Health, Diabetes and Endocrinology
- Mental Health, Diabetes and Endocrinology
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 An Introduction to Psychiatry in Endocrinology
- Chapter 2 Depression across Endocrine Disorders
- Chapter 3 Antipsychotic Medications and Metabolic Syndrome
- Chapter 4 ‘Diabulimia’, Diabetes and Eating Disorders
- Chapter 5 Disorders of the Hypothalamic–Pituitary–Adrenal Axis
- Chapter 6 Disorders of the Thyroid and Parathyroid
- Chapter 7 Psychological Factors Impacting on Endocrine Disorders and Self-Management and Medication-Taking Behaviour
- Chapter 8 Cognitive Impairment and Endocrine Conditions
- Chapter 9 Suicidal Ideation and Self-Harm
- Chapter 10 Obesity and Mental Health
- Chapter 11 Gender Incongruence
- Chapter 12 Anti-androgens in Forensic Psychiatric Settings
- Chapter 13 Service- and Setting-Related Challenges
- Index
- References
Summary
Psychological symptoms commonly occur as a result of both thyroid and parathyroid disorders. Epidemiological studies evaluating the association between thyroid function and mood are heterogeneous in design and report varying results. The larger studies demonstrate no effect or an increase in depression with decreasing thyroid-stimulating hormone concentrations. There is growing evidence supporting the fact that thyroid function in psychiatric patients may be affected by the mental disorder itself, as well as by the medications used to treat that illness. Biochemical assessment of thyroid function and calcium concentrations should form part of the baseline assessment in those who present with new psychological symptoms. Once an abnormality is confirmed, further workup and treatment of the underlying endocrine disorder can be expected to alleviate and even reverse the psychological symptoms.
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- Mental Health, Diabetes and Endocrinology , pp. 56 - 67Publisher: Cambridge University PressPrint publication year: 2021