Winter Park Office
Lakewood Office

Winter Park
970-760-7884

Lakewood
303-747-5051

Thyroid Treatment & Endocrine Health in Mental Wellness

Medical Weight Loss That Works with Your Body and Lifestyle

At Wellness Psychiatry, we understand that mental health is shaped by many factors, including the thyroid gland, hormone balance, and lifestyle.

That’s why we take an integrative approach that evaluates and treats thyroid disease, hormone disorders, and other endocrine imbalances that may affect mood, energy, focus, and overall well-being.

At Wellness Psychiatry, we connect thyroid and endocrine health with mental wellness. Conditions such as hypothyroidism, Hashimoto’s disease, hyperthyroidism, and subclinical hypothyroidism may cause fatigue, depression, anxiety, brain fog, or weight changes. Our providers use advanced thyroid blood tests and thorough assessments to find these imbalances and create personalized care with optimizing thyroid and hormones, nutrition, and lifestyle support.

Why Endocrine Health Matters for Mental Health

The endocrine system plays a vital role in regulating mood, sleep, energy, weight, and brain function.

When hormone-producing glands, such as the thyroid, adrenals, or ovaries/testes are out of balance, it can lead to symptoms that closely resemble, or intensify, psychiatric conditions such as:

  • Depression and low mood
  • Anxiety or restlessness
  • Fatigue or low motivation (common hypothyroidism symptoms)
  • Brain fog, memory issues, or poor focus (common symptoms of suboptimal hormones)
  • Irritability or mood swings
  • Sleep disturbances or insomnia
  • Unexplained weight gain or weight changes
  • Dry skin, thinning hair, or muscle weakness linked to low hormone levels

These symptoms may be linked to conditions such as hypothyroidism, Hashimoto’s disease (an autoimmune disorder where the immune system attacks the thyroid), adrenal dysregulation, or hormonal changes related to peri/menopause, PMDD, PCOS, or low testosterone, which is a woman’s number one sex hormone.

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Common Thyroid Conditions We Evaluate

Many mental health symptoms can be linked to underlying thyroid or hormone issues. At Wellness Psychiatry, we frequently evaluate and support patients with conditions such as:

Hypothyroidism:

When the thyroid doesn’t produce enough hormone, it often leads to fatigue, depression, weight gain, and brain fog.

Hashimoto’s disease:

An autoimmune disease where the immune system attacks the thyroid gland, causing gradual hormone decline and mood changes.

Hyperthyroidism:

An overactive thyroid that may cause anxiety, irritability, restlessness, and sleep problems.

Subclinical hypothyroidism:

Mild thyroid dysfunction with “normal” blood tests but ongoing symptoms like low motivation and cognitive fog.

Enlarged thyroid (goiter) or nodules:

Changes in the thyroid structure that may affect hormone production and overall health.

Our Approach

We don’t separate mental and physical health; they’re connected, and our treatment reflects that. If you’re struggling with mood symptoms that aren’t responding fully to psychiatric medications, or if you’ve been told your labs are “normal” but still don’t feel like yourself, we dig deeper.

Our process includes:

  1. A detailed clinical assessment of symptoms, mood, and history
  2. Comprehensive lab testing (including advanced thyroid panels and hormone levels)
  3. Evaluation of nutrition, stress, and sleep patterns
  4. Personalized treatment planning that may include:
    • Thyroid hormone support (T4, T3, or combination therapy)
    • Lifestyle and nutrition interventions
    • Targeted supplements or adaptogens
    • Hormone balancing when appropriate

Who May Benefit from
Endocrine-Informed Psychiatry?

You may benefit from this integrated approach if you:

Have symptoms of depression or anxiety that haven’t improved with standard medications

Have been diagnosed with hypothyroidism, subclinical hypothyroidism, Hashimoto’s disease, or have a family history of thyroid disease

Feel persistently tired or “off” despite normal basic labs

Experience mood changes tied to your menstrual cycle or hormonal shifts

Suspect your stress, sleep, or metabolism may be affecting your emotional balance

Why Choose Endocrine-Informed Psychiatry?

Mental health and hormone health are deeply connected. While traditional care often treats them as separate, endocrine-informed psychiatry looks at how thyroid and hormone imbalances can affect mood, energy, memory, and overall emotional well-being. This approach gives patients answers when standard labs say “normal” but symptoms still linger.

Here’s how this type of care may benefit you:

Deeper evaluation than routine labs:

We go beyond a basic TSH check, using thyroid blood tests that include Free T3, Free T4, thyroid antibodies, and reverse T3 to get a full picture of your thyroid hormone levels.

Focus on mental health first:

Instead of only adjusting hormone numbers, we connect your test results with psychiatric symptoms like depression, anxiety, or brain fog.

Personalized treatment:

Care may include thyroid hormone therapy, nutrition support, or targeted supplements, tailored to your unique needs and medical history.

Holistic perspective:

We address lifestyle factors such as sleep, stress, and metabolism because these can influence both your endocrine system and your mental health.

Collaborative care:

Our team is happy to coordinate with your primary care provider or endocrinologist, ensuring all aspects of your health are considered.

Getting Started

We work collaboratively with you to get to the root of what’s holding you back, whether that’s hormonal, emotional, or both. Our goal is not just to reduce symptoms, but to help you feel more like yourself again, clearer, more balanced, and energized.

If you’re interested in learning whether thyroid or endocrine issues may be affecting your mental health, we invite you to schedule an initial consultation.

Together, we’ll map a path to healing that honors the full picture of who you are.

Frequently Asked Questions

Can thyroid problems really affect my mood?

Yes. The thyroid gland produces hormones that regulate brain chemistry, including serotonin and dopamine. If the body does not make enough thyroid hormone, an underactive thyroid (hypothyroidism) may cause symptoms such as depression, fatigue, brain fog, and low motivation. Too much hormone (hyperthyroidism) may trigger anxiety, irritability, or restlessness.

My doctor said my thyroid labs were “normal,” but I still feel off. Can you help?

Absolutely. Many patients still struggle even when their thyroid-stimulating hormone TSH appears “normal.” That’s why we use advanced panels that measure Free T3, Free T4, reverse T3, and thyroid antibodies to assess underlying problems. We also review your medical history, physical exam, and symptoms carefully, not just your lab numbers.

Do you prescribe thyroid medication if needed?

Yes. When indicated, we may prescribe thyroid hormone replacement, such as levothyroxine (T4), liothyronine (T3), or combination therapy. We tailor treatment based on your individual needs and response, not a one-size-fits-all approach.

How is this different from seeing an endocrinologist?

While endocrinologists focus on managing complex hormone conditions, our integrative approach bridges mental health and hormone balance. We examine how endocrine factors impact your emotional well-being, cognitive function, and daily life, beyond just your numbers.

Do you treat other hormones too, like cortisol or testosterone?

Yes. We assess other endocrine influences such as adrenal function (cortisol/DHEA), insulin sensitivity, and reproductive hormones when relevant. This is especially helpful for individuals experiencing stress-related burnout, peri/menopause, PMDD, PCOS, or low libido.

Can I still see my primary care doctor or endocrinologist?

Of course. We’re happy to collaborate with your existing providers to ensure cohesive care. Many of our patients work with us alongside their PCP or specialist to address the mental-emotional impact of their endocrine health.

Contact the Experts Today

At Wellness Psychiatry, we begin with a comprehensive consultation led by one of our experienced specialists. This includes blood tests and hormone panels to better understand your unique health needs. Based on your results, we’ll create a personalized treatment plan aimed at optimizing your overall well-being and providing effective symptom relief.

Call us today to schedule your consultation and take the first step toward a healthier, more balanced you.

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what our clients say

I was extremely apprehensive on my first visit because I was in a very bad mental state. Amanda was very thorough, very friendly, and made me feel very comfortable from the very beginning. As I recovered I looked forward to our visits but in the end we mutually decided that it was time for me to leave the nest and fly away. If I ever need her I can always call on her. There was something about the layout of the office, the furnishings, and the calming energy that always put me at ease. My first encounter with psychiatric counseling was definitely a positive experience and something that I'll cherish.
Charles
This practice has not only helped my mental health, but I have been treated in a way that is caring and thoughtful. I feel like I'm more than just the 10:30 client - there's a vested interest in my well being. Amanda Farrell is who I've been working with for a few years now and I highly recommend her! I also feel confident that anyone in the practice is trustworthy and reliable. Again, highly recommended!
Melissa
Amanda is an absolute RARE find. My husband even agreed that she does….actually….. care about me and my health. I’m 50 and this might be the first time in my life that I’ve felt that my doctor/therapist really wants me to be happy and successful in life. Starting therapy when I was in my 20’s so there is a long list of docs/therapist that I’ve seen over the years. Highly recommend — especially if you’ve started feeling like you’re just another patient in the queue.
Susannah
This is the best psychiatry practice I have been to. Everyone I have worked with has been empathetic and understanding. The office feels very warm and I feel very taken care of. I always know when I call or email, Riley will be super responsive to my needs. Highly recommend!
Ellen
Amanda has been incredibly helpful. I'm much happier and more productive.
Bob
Wellness Psychiatry goes above and beyond. Everyone from admin to clinical staff. The team fosters warmth and are very attentive to your needs. Addressing mental health has felt overwhelming but this team makes it me feel comfortable and supported. Thanks!
Jodi
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