What’s the link between hypothyroidism and anxiety?

Since hypothyroidism can make you feel tired, make you gain weight, and change your mood, it’s not a surprise that it may be linked to sadness. But worry can also be a sign of hypothyroidism.

The American Thyroid Association (ATA) says that hypothyroidism happens when cells in the thyroid gland can’t make enough thyroid hormone. The body needs this hormone to stay healthy and energized. It can be hard to tell the difference between hypothyroidism and nervousness at first because their symptoms can look a lot alike.

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What is anxiety?

Anxiety is a normal response to something that is upsetting. It helps you stay awake during a short-term event that is very important, like a job interview or stopping your kid from running into the street. Stress can be bad, though, if it happens too often and turns into a habit.

People who have hypothyroidism often also have anxiety, which can happen on its own or along with sadness.

What makes people with hypothyroidism anxious?

Not getting the right care for hypothyroidism can also make you feel anxious. Levothyroxine is often used to treat hypothyroidism, but if you take too much of it, it can cause anxiety and signs like a fast heartbeat and shaking, which can make your anxiety worse. Hypothyroidism can cause dry skin, sensitivity to cold, a hoarse voice, and mood swings. If it is not handled, these symptoms will last. Hypothyroidism that isn’t addressed can lead to heart problems like a weak pulse or heart failure over time, which can make things even more stressful.

Anxiety can also make it harder to follow through with your hypothyroidism treatment if it makes you forget to take your medicines or have trouble going to the doctor or living a healthy life.

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How to Deal with and Treat Anxiety

The good news is that both nervousness and hypothyroidism are very easy to treat. Solomon says that some tried-and-true ways to deal with worry are:

• Going to see a doctor
• Regular exercise
• Yoga and other mind-body routines
• Practicing awareness through meditation or other methods
• Taking medicines for hypothyroidism and anxiety as directed

Occasionally, treating hypothyroidism fully gets rid of anxiety. However, Solomon says this only happens when anxiety symptoms appear out of the blue because the thyroid levels are too low. But hypothyroidism and anxiety often need to be treated at the same time, even though fixing one will help the other.

If you have both hypothyroidism and nervousness, you should work with your doctor to keep an eye on both of them. Starting treatment and changing the dose of thyroid hormones should be based on both lab tests and symptoms, ideally with the help of a caring and helpful doctor. It can be hard to tell the difference between thyroid problems and mental health problems, so people with anxiety or panic disorder may need more frequent thyroid lab (blood) tests.

Also, because your mind is just as important as your body, talk to your doctor about how to treat your worry, whether that means seeing a therapist, doing yoga and mindfulness as part of your daily life, or a mix of these things.

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