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Had subacute thyroiditis. Suffer from depression. Has depression led to thyroid problem?

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Practicing since : 2005
Answered : 88 Questions
hi how are you

I had subacute thyroiditis 2 years ago but since my thyroid has been stable for the past two years my family doctor believes that i'll probably have no more additional issues with it in the future. he used to think that my thyroid will get hypoactive but since it's been two years now that it has been stable he no longer thinks so but he doesn't guarantee and believes that he has to check it in my blood every 6-12 months. but does this mean that my depression will go away too? my depression led to my thyroid issue I believe. thanks bye
Posted Thu, 12 Sep 2013 in Mental Health
Answered by Dr. Simmi Kumari 10 hours later
Brief Answer:
It is not sure and no one can predict

Detailed Answer:
Hello - It appears to me from your brief history that you have been diagnosed with depression with thryroiditis. As your thyroid status is maintained from the last 2 years, the physician has advised you no active intervention but only regular monitoring of thyroid status. Now you want to know the prognosis of your depression.

It appears from your query that you had depression primarily followed by development of thyroiditis. Due to occurrence of these disorders in this sequence, it appears that you have attributed thyroiditis directly to depression, but this is not the case. Although, thyroid status do gets affected as well as produce an effect on prognosis of depression but they do not directly cause each other.

To summarize, the improvement in your thyroiditis will improve your chances of recovering from depression but it does not mean that it will surely and completely recover you from depression. You will still need to take treatment for your depression and need regular follow up with your psychiatrist.
I hope I have answered your query. If you need any more information you can contact again.
Take care.
Above answer was peer-reviewed by
Follow-up: Had subacute thyroiditis. Suffer from depression. Has depression led to thyroid problem? 10 hours later
I just started taking omega-3 softgels few months ago. Maybe that's all I need to cure my depression. I didn't know that I wasn't taking enough omega-3 through my diet. What upsets me is that throughout the past 12 years that I've been seeing psychiatrists none them ever questioned me about how often I eat fish. I found out through my family doctor few months ago that I wasn't getting enough omega-3 fatty acids through my diet so he told me to take it's softgels. I've been through few psychiatrists during the past twelve years and non of them have been helpful. Also I recently found out that my blood type which is O+ might be contributing to my depression. All the psychiatrists that I've been through compared me with my sister by asking me how she's doing and that bothers me cause her blood type is AB+ and is at a lower risk for developing depression and this bothers me. I believe they should have never compared me with my sister because of this. My psychiatrists have been rude to me cause my sister doesn't have depression but I do and this bothers me cause I believe that I'm not at fault for it.
Answered by Dr. Simmi Kumari 30 hours later
Brief Answer:
May be it helps but not for sure

Detailed Answer:
Sorry for the delay in responding.

Now to start with your query it seems that you have not responded adequately to any treatment in last 12 years for depression. You have been tried on many modalities but none worked for you so well. Now that you have started omega - 3 fatty acid replacement you want to know what will be the outcome and why other people have not thought about it.

To answer your question, firstly I would like to tell you that deficiency of omega fatty acid is not a very common cause of depression. Secondly even with deficiency it not necessary that person has developed depression due to its deficiency only ,not otherwise. It can be just be a precipitating factor or may be causative, but this conclusion can not be reached before seeing a response to the replacement therapy, which you are currently taking. As it is not a common cause, doctors usually miss such angles in diagnosis. Moreover, supplementing patient with omega fatty acid who are not responding to other treatment is a method of treatment now a days. May be your physician have started your fatty acid in that regard , to augment your already existing treatment. There is no confirm answer that every augmenting agent works as we all know that there is no surety that all anti depressant will work in all patient. So only time can tell about that your depression will respond to this treatment or not.

As far as your problem with doctors asking you about your sister, I would like to tell you the reason for it. Most probably they were not comparing you with your sister but trying to know your family history of depression as it is common and also very important to figure out the prognosis. Those who have a family history of psychiatric disorder have poor prognosis due to genetic loading for disease and also treatment response of a family member help in deciding treatment of patient. Due to these reasons, psychiatrist frequently ask about family history and there is nothing to feel offended about it.

I understand that remaining in a state of depression for so long makes it difficult for any person to be patient and calm with the treatment methods of various doctors, but still I would advice please persist with the advice of the psychiatrist as this illness can be chronic and some times do not respond completely. Just because it is not responding well, you should not quit the treatment. If you will persist your psychiatrist will try different modality which will help you in one or other way. However, if you are not satisfied with the behavior of your psychiatrist you can always change. Don't stop treatment because of non satisfactory behaviour of doctor as it will be bad for your illness in long term.

I hope I have given adequate explanation for your query.

For any more query you can ask again

Take care
Above answer was peer-reviewed by
Follow-up: Had subacute thyroiditis. Suffer from depression. Has depression led to thyroid problem? 47 minutes later
Thanks for your response. and about the omega 3 fatty acids I found out myself that I had to take the gels and when I asked my family doctor he agreed with me.

And is it true that depression can go away at the age of 30? Thanks bye
Answered by Dr. Simmi Kumari 2 hours later
Brief Answer:
Answer for such question is never yes or no.

Detailed Answer:
In response to your latest question I would like to say that , such questions can not be answered as yes or no. Depression is diagnosed on the basis of similar symptoms in many patients but response is not same in all. Response depends on many factors, like Patient profile, symptom profile, family history , duration of illness, treatment compliance ect. So one one cannot predict what will be the outcome in each patient. Only we can tell who have better prognosis among so many patients depending on all the factors I mentioned. So there is nothing like that, " depression go away in 30".
Depression may remit spontaneously also but who will have that remission and who will not can not be declared by anyone. As these things are not predictable with confidence , so we always advice people to consult the psychiatrist and to take treatment if required, because untreated depression is always bad then treated depression.

Now I hope you will be clear in your doubts about depression
Take care.
Above answer was peer-reviewed by
Follow-up: Had subacute thyroiditis. Suffer from depression. Has depression led to thyroid problem? 32 hours later
also one more thing. you said that omega-3's are rarely causative of one's depression but I read on a site that in countries in which people consume a lot more fish than in north XXXXXXX depression rates tend to be lower by 60%. what do you have to say about this?


Answered by Dr. Simmi Kumari 13 hours later
Brief Answer:
These are statistical finding.

Detailed Answer:
In response to your recent question, the fact you have mentioned is a statistical finding . It states that population who eat more fish have 60 % lesser chances of depression in some part of the world. These studies have many other additional causative factors which are not highlighted and these findings should be evaluated in light of these additional factors. What I mean to say by this, that there are many factors which contribute to lesser occurrence of any disorder in one area than just one. Also if you search extensively,you will also find some studies which will refute such findings. So I am saying, these studies are good and informative, helps us in implementing new treatment strategy but we can not follow them blindly and need to see them with all other factors.
Just on the basis of few studies we can not say depression is directly caused by deficiency of omega fatty acid in majority of patient and give them fish to eat and people will not have depression. If that would have been the case , majority of treatment guidelines would have included omega fatty acid / fish in primary treatment of depression , which is not a truth by the way.
So finally to conclude I want to say is, that omega fatty acid are important to our body and can contribute to depression,but no one can promise just by supplementing omega fatty acid depression can get resolved for sure. It may or may not, depending on the fact that -Is your depression is directly caused by severe deficiency of omega fatty acid or defeciency is just a additional factor.

I hope you got your desired answer. For any more query you can always contact.
Take care.
Above answer was peer-reviewed by
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