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Gen Hosp Psychiatry. 2012 Nov-Dec;34(6):703.e13-4. doi: 10.1016/j.genhosppsych.2012.03.008. Epub 2012 Apr 18.

Hyperthyroidism presenting as mixed affective state: a case report.

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  • 1Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore-560029, India.


Thyroid disorders have long been associated with psychiatric illness, commonly mood disorders. In bipolar disorder, hypothyroidism is quite a common abnormality. Little is known about the association of thyroid disorders and mixed affective states. We present a case of hyperthyroidism presenting as a mixed affective state and the successful resolution of psychiatric symptoms with antithyroid medication along with a mood-stabilizing agent.

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