Dear sir, my wife has hypothyroid (postpartum thyroiditis) and tsh levels are 50. She is taking thyronorm 75 mcg daily. But struggling with anxiety kind of problem - fear, sadness, crying randomly with mood during day. At night she does not gets smooth sleep also. Is it ok to give her anxit 0.25 mg daily till she recovers out of this kind of tsh levels considering that her anxiety is developed recently due to possibly thyroid? Please help.

Ms. Pallavee WaliaPsychologist6yrs exp

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Don?t feel awkward or embarrassed about talking to your doctor about the psychological symptoms associated with your thyroid disorder. They may be an important part of your thyroid disorder, so just ask as many questions as you need to in order to understand what is happening to you. These symptoms can also have an impact on your family and friends so it is important to give them the opportunity to understand what is happening. The symptoms can affect your work so it is important that your employer understands the problem. Likewise, for school-age children and young people, these symptoms can have an impact on school or college work, so it is important that their teachers are informed and can make allowances, especially at exam time. Physical symptoms such as hair loss, thyroid eye disease, weight gain or loss, can affect the way you feel. Your doctor can refer you to a specialist who can help. Even though the cause may be physical, anxiety or depression sometimes require treatment in their own right. Non-drug treatments such as relaxation or short-term psychotherapy can help. If your problem is more persistent you may be prescribed a drug such as an antidepressant. If your symptoms are especially severe, or if they continue even after a fair trial of thyroid treatment, then you should ask your doctor to refer you a clinical psychologist - one with expertise in psychological problems associated with physical illness.  

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