Psychotic features like
delusions,
hallucinations, disorganized
behavior, disorganized
speech and negative symptoms like
anhedonia, restricted
affect can also appear in
secondary medical conditions causing
psychosis. Here, we present the case of psychotic symptoms in correlation with a medical condition of subclinical
hypothyroidism in a 28-years-old
female having an illness for 5 years. This
patient presented with psychotic symptoms and did not show any symptomatic improvement with
antipsychotics in the past. We reached to clinical suspicion of anti-
thyroid psychosis or subclinical
hypothyroidism with
psychosis on the basis of a slight elevation in
thyroid stimulating hormone levels and high titers of anti-
thyroid peroxidase antibodies. Levothyroxine was augmented in her
treatment regime and she started showing improvement in her symptoms.