Does thyrotoxicosis cause symptoms like erratic behavior, mood swings, and paranoia?

Question

Hello doctor,

I wanted to inquire about a male who was recently diagnosed with acute thyrotoxicosis. He presented symptoms like mania, paranoia, psychosis, cluster headaches, significant weight loss, elevated blood pressure, and irregular heart rhythm. He was given a beta blocker and antianxiety medications. However, his symptoms have worsened with extreme paranoia and erratic behavior, and mood swings. Is this a normal progression as a result of the thyroid being destroyed? What can be done to help? How long does it truly take to have some sense of normalcy back or does this just never completely go away?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

It seems he is managed well. It is just a matter of time before he gets back to normalcy. The control of the disease may not occur for a period of weeks or a few months. More than one treatment may be needed in some patients, depending on the dose given, approximately 15 percent of patients require a second dose, and a few patients require a third dose. The second dose should be considered only at least six months after the first dose.

Hope my advice is of some help to you.

Good luck.

Thanks and regards.