Hyperthyroidism vs. Hypothyroidism: Examining the Thyroid’s Influence on Physical, Mental, and Emotional Health

Thrive • January 6, 2022
By Thrive Reno’s Director of Primary Care Services Becky Barnett, PA-C

The thyroid is a small gland located just above the collarbone that creates and releases several hormones that are critical to many physical functions within the body. The thyroid’s hormones are also closely linked to a person’s mental and emotional health. 

According to the American Thyroid Association , 20 million or twelve percent of Americans have some form of thyroid dysfunction. Shockingly, sixty percent of individuals experiencing thyroid dysfunction are unaware of their condition. While the causes of thyroid issues are largely unknown, fortunately there are ways to treat thyroid issues.

Explore how thyroid dysfunction can disrupt one’s physical, mental, and emotional health, and learn about common treatment methods.

HYPERTHYROIDISM — AN OVERACTIVE THYROID 

When the thyroid produces too many hormones, it is considered overactive — a condition called hyperthyroidism. An overabundance of thyroid hormones can accelerate the body’s metabolic functions as well as cause symptoms of anxiety

Physical Symptoms of Hyperthyroidism

  • Enlarged thyroid gland
  • Rapid heart rate
  • Difficulty sleeping
  • Restlessness
  • Increased appetite
  • Increased frequency of bowel movements
  • Irregular menstruation cycles
  • Excessive sweating
  • Trembling or shaking

Mental and Emotional Symptoms of Hyperthyroidism

  • Anxiousness
  • Nervousness
  • Irritability
  • Persistent worry
  • Difficulty thinking or concentrating
  • Forgetfulness
  • Feeling overwhelmed
  • Difficulty relaxing

Treatment for Hyperthyroidism

Hyperthyroidism affects less than one percent of the population. A person experiencing hyperthyroidism would typically visit an endocrinologist, which is a physician that specializes in hormones. Oral medications, radioactive iodine treatments, and surgery can be used to slow the thyroid’s production of hormones.

HYPOTHYROIDISM — AN UNDERACTIVE THYROID

An underactive thyroid , or hypothyroidism, produces too few hormones which can lead to decreased metabolic functioning as well as symptoms of depression

Physical Symptoms of Hypothyroidism

  • Slowed metabolism
  • Slowed heart rate
  • High cholesterol
  • Decreased core body temperature
  • Constipation
  • Muscle pain and weakness
  • Dry skin and hair

Mental and Emotional Symptoms of Hypothyroidism

  • Depression
  • Fatigue
  • Social withdrawal
  • Apathy
  • Anxiousness
  • Irritability
  • Forgetfulness
  • Sluggishness
  • Confusion
  • Delayed reaction times
  • Difficulty concentrating

Treatment for Hypothyroidism

Hypothyroidism is a more common condition than hyperthyroidism and can typically be treated by primary care providers. Thyroid replacement hormones in the form of oral medications are often prescribed to manage hypothyroidism.

DIAGNOSING A DYSFUNCTIONING THYROID

Many health care providers don’t routinely screen clients for thyroid dysfunction. So, if you’re concerned that you’re experiencing symptoms of an underactive or overactive thyroid, we encourage you to ask your health care provider to assess your thyroid. A simple blood test can provide an overview of thyroid hormone levels. 

THRIVE SUPPORTS MIND-BODY WELLNESS

Thrive’s team of physicians, psychiatrists, therapists, nutritionists, and movement specialists collaborate to promote our clients’ overall well-being. If you’re struggling with physical, mental, or emotional health concerns, reach out to us to learn more about how we can help you achieve better health.

About the Author

Becky Barnett, PA-C — Thrive Reno Director of Primary Care Services

Becky Barnett, PA-C, has worked as a Physician Assistant for over 25 years with a primary focus on women’s health. She earned a bachelor’s degree from U.C. Riverside in 1991, and graduated from the College of Osteopathic Medicine of the Pacific (now Western University of Health Sciences) as a Physician Assistant in 1995. She has worked in various venues including community health centers, residential mental health facilities, large HMO settings and private practices as she moved throughout California and then into Nevada in 2001. She is proud to represent the medical team of Thrive Wellness of Reno, and is thrilled to be a part of such an authentic and passionate group.

Becky has two sons who attend schools in the Washoe County School District. She enjoys taking weekend excursions into the various wonders Northern Nevada has to offer, going on cruises, and spending time with her friends and family.

Download our free wellness guide.

Discover the power of small, sustainable changes with "How to Thrive: 10 Simple Habits for Healthy Living." This guide offers practical, easy-to-follow habits that promote physical, mental, and emotional well-being.

July 30, 2025
How to Recognize Overlapping Behaviors + A Case Study and Screening Tools to Help
July 17, 2025
As a parent, noticing alarming behaviors around food or routines in your child can raise some important questions. You might be asking yourself, “Is this an eating disorder, obsessive-compulsive disorder (OCD), or something else entirely?” Understanding the signs and differences between these disorders is key to getting your child effective, timely treatment. In this blog, we’ll break down the overlap between OCD and eating disorders, what signs to watch for, and how to get professional help. If you're a parent wondering “Is my child’s eating disorder actually OCD?” or “OCD vs eating disorder in teens,” know that you’re not alone and you’re in the right place to find specialized care for your child. What Is OCD? Obsessive-Compulsive Disorder (OCD) is a mental health condition where unwanted thoughts (obsessions) cause anxiety, leading to repetitive behaviors (compulsions) intended to ease that anxiety. OCD can be focused on any subject. Common obsessions include contamination, perfectionism, scrupulosity, and harm, but sometimes, the content of obsessions can be focused on food, body image, or weight. What Is an Eating Disorder? Eating disorders , like anorexia nervosa, bulimia nervosa, binge eating disorder, and avoidant/restrictive food intake disorder (ARFID) involve disturbed eating behaviors and intense concerns about body weight or shape. These conditions go beyond dieting or “picky eating” and can become life-threatening without professional intervention. The Overlap: Why It Can Be Confusing OCD and eating disorders often share similar symptoms : Ritualistic eating (e.g., needing to eat foods in a certain order or at a certain time) Rigid rules about food (like only eating certain food groups or certain amounts of food) Excessive checking (like weighing food or body or repeated checking of expiration dates or thorough cooking) Avoidance behaviors ( like avoiding carbs, fats, or other food groups or avoiding places or objects that can trigger obsessions) Distress when routines are disrupted (either around mealtimes or exercise routines) So, How Can You Tell the Difference? Use the following chart to compare and contrast symptoms of OCD and eating disorders.
June 27, 2025
How school breaks can mask or amplify eating disorders, anxiety, and OCD symptoms and how to intervene
More Posts

Start your healing journey today

NEXT STEPS

Are you ready to find hope? We can't wait to connect you with the care you need. To get started with us, please reach out using the link below.   

Obsessive Compulsive Disorder

Learn more →

Perinatal

Mental Health

Learn more →

Obsessive Compulsive Disorder

Learn more →

Perinatal

Mental Health

Learn more →