Last Updated on November 26, 2025 by Bilal Hasdemir

Hypothyroidism, or underactive thyroid, happens when the thyroid gland doesn’t make enough thyroid hormones. These hormones are key for many body functions, including mood. Studies show a strong link between hypothyroidism and a higher risk of depression.
The connection between thyroid health and mental health is complex. Symptoms can overlap, making diagnosis hard.
At Liv Hospital, patients get full care that looks at the link between thyroid and mental health. It’s important to understand how hypothyroidism affects mood for good management and treatment. Many people ask, “can low thyroid cause depression?” — and the answer is yes. Low thyroid hormone levels can slow metabolism and brain activity, leading to feelings of sadness, fatigue, and low motivation.

It’s key to know how thyroid disorders and depression are linked. The thyroid gland, shaped like a butterfly, is in the neck. It makes hormones that control how our body uses energy and how we feel.
Hypothyroidism happens when the thyroid gland doesn’t make enough hormones. These hormones are vital for our body to work right. It’s more common in women and can cause tiredness, weight gain, and feeling sad.
Depression often goes hand in hand with thyroid problems. Research shows people with hypothyroidism are more likely to feel depressed.
A study found that about 69% of people with hypothyroidism feel depressed. This shows a strong connection between thyroid issues and mental health.
| Condition | Prevalence of Depression |
| Hypothyroidism | 69% |
| Hyperthyroidism | 20-30% |
The table shows how common depression is in thyroid disorders. Hypothyroidism has a much higher rate of depression symptoms.
In short, knowing about hypothyroidism and its link to depression is vital. It helps doctors treat patients better. Understanding this connection can improve health for those with these conditions.

Thyroid hormones greatly affect how our brain chemicals work. This is key for keeping our emotions in check. The thyroid gland makes two main hormones, T3 and T4. These hormones are vital for our brain’s chemistry.
Neurotransmitters like serotonin and dopamine help us feel good. Thyroid hormones help make and work these neurotransmitters. Research shows thyroid hormones can change how genes make neurotransmitters. This affects our mood and how we feel emotionally.
T3 and T4 are key for our brain to work right. T3 directly affects our brain’s chemical systems. Studies show T3 can make some antidepressants work better. This shows how important T3 is for our mood.
When the thyroid isn’t working right, serotonin levels can get out of balance.
“Hypothyroidism is linked to lower serotonin levels. This can lead to feeling depressed.”
Getting thyroid hormone levels back to normal can help. It can make mental health better.
In short, thyroid hormones and brain chemistry are closely linked. Understanding this is key to treating depression in people with thyroid issues.
Low thyroid can make you feel extremely tired. This fatigue can make you feel down and depressed. Many people with hypothyroidism struggle with this, affecting their life and mood.
Fatigue and depression are linked in a cycle. Feeling tired can make you feel sad and hopeless. Depression can also make you feel exhausted, making it hard to break the cycle.
Understanding this cycle is key to finding the right treatment. It helps tackle both the physical and emotional sides of hypothyroidism.
It’s hard to tell if fatigue comes from hypothyroidism or depression. Thyroid fatigue is caused by slow metabolism. Depression-related exhaustion comes from emotional and psychological factors.
Getting the right diagnosis is important. It helps find the main cause of fatigue and plan the right treatment.
Not having enough energy can make you feel sad and isolated. It can also lower your self-esteem. Physical symptoms like weight gain or hair loss can make things worse.
By treating thyroid issues and managing fatigue, doctors can help reduce depression symptoms. This approach can improve your mood and quality of life.
Cognitive dysfunction is a common issue in hypothyroidism that affects quality of life. It includes symptoms like memory problems, trouble concentrating, and brain fog. These can make people feel frustrated and depressed.
Memory and concentration issues are key symptoms of hypothyroidism. They show up as forgetfulness and trouble finishing tasks. People might feel mentally foggy.
Impact on Daily Life: These symptoms can mess up daily routines. Simple tasks become hard, and trouble concentrating can make people feel not good enough.
Cognitive symptoms of hypothyroidism can make depression worse. Feeling unable to do tasks and mentally impaired can lower self-esteem. It can also change mood.
Cognitive changes from hypothyroidism deeply affect daily life. They can hurt work performance and strain personal relationships. These symptoms can reach far.
| Cognitive Symptom | Impact on Daily Life |
| Memory Problems | Forgetfulness affects task completion and appointments. |
| Concentration Difficulties | Difficulty in focusing impacts work and study. |
| Brain Fog | Mental fogginess affects decision-making and clarity. |
It’s important to understand the connection between cognitive dysfunction and hypothyroidism. By tackling these symptoms, people can manage depression better. This helps with both physical and mental health.
Hypothyroidism is when the thyroid gland doesn’t make enough hormones. This can change how our body works, affecting energy, weight, and mood. These changes might make us feel sad or depressed.
A slow metabolism from hypothyroidism can make us tired and unmotivated. We might feel unwell, which can hurt our mental health. It makes it hard to deal with stress and can make depression worse.
Key effects of slowed metabolism on mental health include:
Weight gain is common in hypothyroidism. It can hurt how we see ourselves and our self-worth. This can make us feel bad about ourselves and might make depression worse.
The connection between weight gain and depression is complex. It involves physical and mental factors. It’s important to manage weight when treating hypothyroidism and depression together.
Our metabolic rate affects our health, including how we feel emotionally. A slow rate can mess with our mood and emotional balance.
Studies show a strong link between thyroid function, metabolic rate, and depression. Knowing this helps doctors treat both thyroid issues and mental health better.
Understanding how hypothyroidism affects our mood can help us manage it. This can improve our life quality.
Hypothyroidism can disrupt sleep, which may worsen depression. Understanding how thyroid function, sleep, and mental health interact is key. This knowledge helps manage hypothyroidism and depression better.
Hypothyroidism can really mess with sleep. Symptoms like feeling cold, joint pain, and breathing issues make it hard to sleep. The slow metabolism also messes with the body’s natural sleep cycle.
“Sleep disturbances are a hallmark of thyroid disorders, and addressing these disturbances is critical for overall well-being.”
Poor sleep is not just a symptom; it’s a risk for depression. Lack of sleep raises stress hormones like cortisol, affecting mood. It also hurts brain function, making daily stress harder to handle, raising depression risk.
To break the cycle of insomnia and low mood, we need a few steps. Treating hypothyroidism with hormones can help sleep issues. Good sleep habits, like regular sleep times and a comfy bed, also help.
Cognitive-behavioral therapy for insomnia (CBT-I) is another good way to tackle sleep problems. By fixing sleep and treating hypothyroidism, we can lower depression risk. It’s a big step towards better health.
Hashimoto’s thyroiditis is an autoimmune condition that affects the thyroid gland. It has been linked to depression in recent studies. This connection is not just a coincidence. It’s due to the complex relationship between autoimmune responses, inflammation, and hormonal imbalances in Hashimoto’s thyroiditis.
Thyroid antibodies in Hashimoto’s thyroiditis show an autoimmune attack on the thyroid gland. This autoimmunity can affect the whole body, causing inflammation. Research shows that chronic inflammation can change neurotransmitter levels and function, leading to depression.
“The connection between autoimmune thyroiditis and depression is clear,” a recent study found. “Thyroid antibodies may play a key role in depressive symptoms in these patients,” it said.
Thyroid antibodies are a key feature of Hashimoto’s thyroiditis. They are linked to a higher risk of depression. These antibodies can also make depression harder to treat. Understanding their role in depression is key to finding effective treatments.
Autoimmune thyroiditis can make treating depression harder in several ways. The inflammation and autoimmunity need special treatment. The hormonal imbalances from thyroid dysfunction also need to be fixed. A treatment plan that tackles both the autoimmune condition and depression is vital for better patient outcomes.
In conclusion, the connection between Hashimoto’s thyroiditis and depression is complex. It involves autoimmune responses, inflammation, and hormonal imbalances. Recognizing this connection is key to developing effective treatments for both conditions.
It’s important to understand how thyroid function and depression are linked. When someone shows signs of depression, it’s key to check for hypothyroidism too.
Diagnosing hypothyroidism needs blood tests to check thyroid hormone levels. The main tests are:
These tests show if thyroid hormone levels are okay or if they’re low. Low levels can cause depression.
Doctors should think about thyroid problems in depression if patients have:
These signs are often linked to low thyroid depression.
For those with hypothyroidism, hormone replacement therapy can help with depression. It fixes the hormonal imbalance that may cause depression and thyroid problems.
When both hypothyroidism and depression are present, treating both together works best. This might include hormone therapy, antidepressants, and lifestyle changes to manage thyroid depression symptoms.
By treating both conditions at once, doctors can give better care. This can lead to better results for those with hypothyroidism and depression.
It’s important to understand how thyroid disorders and depression are connected. The thyroid gland and depression are closely linked. Thyroid problems often lead to feelings of sadness and depression.
Knowing about this connection helps doctors create better treatment plans. They can address both the hormonal issues and the mental health problems. This is key for treating depression linked to an underactive thyroid.
By recognizing the link between thyroid function and mental health, people can get better care. This care improves their overall health and life quality. It takes a team effort, with doctors and mental health experts working together.
In the end, understanding the thyroid-depression link can lead to better health for those affected. It’s a step towards improving their well-being.
Yes, thyroid disease, like hypothyroidism, can lead to depression. This is because of hormonal imbalances and their effect on brain chemistry.
Symptoms include persistent fatigue, trouble thinking, changes in appetite, sleep issues, and feeling sad or hopeless.
Hypothyroidism can mess with neurotransmitters like serotonin. These are key for mood, leading to depression.
Yes, treating hypothyroidism with thyroid hormone can help some people feel better.
Hashimoto’s thyroiditis, an autoimmune disorder, can raise the risk of depression. This is due to chronic inflammation and thyroid issues.
If you have depressive symptoms and other hypothyroidism signs like fatigue, weight gain, or feeling cold, your thyroid might be linked to your depression.
Yes, tests like TSH, free T4, and free T3 can show if you have hypothyroidism. This might be causing your depression.
Yes, thyroid hormone therapy is used for hypothyroidism. It can also help with depression in some cases.
Hypothyroidism can disrupt sleep, making depression worse. This creates a cycle of insomnia and low mood.
Yes, hypothyroidism’s effects on metabolism, weight gain, and body image can lead to mood issues and depression.
ShrEstha, G. (2023). Spigelian hernia: A rare case presentation and review of literature. Journal of Surgical Case Reports. Retrieved from https://www.sciencedirect.com/science/article/pii/S2210261223002079
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